Clinically Significant Pneumatosis Intestinalis with Postoperative Enteral Feedings by Needle Catheter Jejunostomy: An Unusual Complication

Journal of Parenteral and Enteral Nutrition - Tập 15 Số 3 - Trang 328-331 - 1991
C. Daniel Smith1, Michael G. Sarr1
1Department of Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota

Tóm tắt

We evaluated the incidence of clinically significant pneumatosis intestinalis and intestinal necrosis with the use of needle catheter jejunostomy in 217 consecutive patients who had undergone complicated abdominal operations or selected bariatric procedures. The needle catheter jejunostomy was used to deliver immediate postoperative nutrition, maintenance, and replacement fluids, and selected medications. In this group, no serious complications requiring surgical intervention were related to the use of needle catheter jejunostomies. Clinically significant pneumatosis intestinalis was encountered in two of 217 patients (1%). With the needle catheter jejunostomy in place, both patients improved rapidly when enteral feedings were discontinued and parenteral antibiotics were administered. None of the 217 patients developed ischemic intestinal necrosis. We conclude that 1) clinically significant pneumatosis is a rare complication of enteric feeding via needle catheter jejunostomy when the intrajejunal feeding is begun with a diluted, hypoosmolar solution with stepwise increases in osmolality, and 2) patients who do develop clinically significant pneumatosis (n=2) seem to respond rapidly to a temporary stoppage of enteral feedings and administration of parenteral antibiotics. (Journal of Parenteral and Enteral Nutrition 15:328–331, 1991)

Từ khóa


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Thông tin
Thông tin xuất bản

Journal of Parenteral and Enteral Nutrition

Tập 15 Số 3

328-331

Thông tin tác giả