Knot formation in the feeding jejunostomy tube: A case report and review of the literature

被引:13
作者
Liao, Guo-Shiou
Hsieh, Huan-Fa
Wu, Meng-Hang
Chen, Teng-Wei
Yu, Jyh-Cherng
Liu, Yao-Chi
机构
[1] Natl Def Med Ctr, Tri Serv Gen Hosp, Pneghu Brnach, Dept Surg,Div Gen Surg, Taipei 114, Taiwan
[2] Show Chwan Mem Hosp, Dept Surg, Changhua, Taiwan
关键词
feeding jejunostomy tube; complications; knot formation;
D O I
10.3748/wjg.v13.i6.973
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Jejunostomy feeding tubes provide surgeons with an excellent method for providing nutritional support, but there are several complications associated with a tube jejunostomy, including complications resulting from placement of the tube, mechanical problems related to the location or function and development of focally thickened small-bowel folds. A 76-year old man who presented with multiple medical diseases was admitted to our hospital due to aspiration pneumonia with acute respiratory failure and septic shock. He underwent exploratory laparotomy with feeding jejunostomy using a 14-French nasogastric tube for nutritional support. However, occlusion of the feeding tube was found 30 d after operation, and a rare complication of knot formation in the tube occurred after a new tube was replaced. On the following day, the tube was removed and replaced with a similar tube, which was placed into the jejunum for only 15 cm. The patient's feedings were maintained smoothly for two months. Knot formation in the feeding tube seems to be very rare. To our knowledge, this is the third case in the literature review. Its incidence is probably related to the length of the tube inserted into the lumen.
引用
收藏
页码:973 / 974
页数:2
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