A Knotty Problem With a Feeding Jejunostomy Tube

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Abstract
To the Editor.—Jejunostomy feeding tubes have provided the surgeon with an excellent method for providing nutritional support.1,2 Their use has helped decrease the morbidity and mortality in mentally obtunded patients, patients with trauma, and patients undergoing serious gastrointestinal procedures. For years jejunostomy feeding tubes have given the surgeon a route for providing more physiologic alimentation through the gastrointestinal tract. The complication rate of placing such a catheter into the upper jejunum is barely above that of the general anesthetic. With the introduction of the needle jejunostomy feeding tube, the procedure can even be done with the patient under local anesthesia and with less operating time.3 There are several complications associated with a tube jejunostomy. These include breakage around the entrance site of the catheter into the jejunum, slippage of the catheter both distally and proximally that leads to loss of the catheter either into the lumen or

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