ACUTE ABDOMINAL-PAIN DUE TO EARLY POSTOPERATIVE ELEMENTAL FEEDING BY NEEDLE JEJUNOSTOMY

  • 1 January 1983
    • journal article
    • research article
    • Vol. 157  (1) , 40-42
Abstract
Early postlaparotomy needle jejunostomy feeding with an elemental diet resulted in a typical clinical entity in 6 of 160 patient (4%). In all, an acute condition of the abdomen developed with a grossly distended intestine, filled with fluid and gas, and an empty stomach as confirmed roentgenographically or at a 2nd laparotomy. This complication is presumably caused by carbohydrate hyperosmolarity of the elemental diet and carbon dioxide production by fermentation. The complication was seen predominantly in patients with a Roux-en-Y reconstructed pancreatectomy. In 2 patients, a negative 2nd laparotomy was performed. In 2 others, a pancreaticojejunostomy suture line blowout followed, resulting in death. One patient died after aspiration of the gastric contents.

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