World Library  
Flag as Inappropriate
Email this Article


Article Id: WHEBN0022033122
Reproduction Date:

Title: Jejunostomy  
Author: World Heritage Encyclopedia
Language: English
Subject: Digestive system surgery, Pyloromyotomy, Cholecystostomy, Hepatoportoenterostomy, Intestinal pseudoobstruction
Collection: Digestive System Surgery, Enteral Feeding
Publisher: World Heritage Encyclopedia


Jejunostomy to anterior abdomen wall
ICD-9-CM 46.32

Jejunostomy is the surgical creation of an opening (fistula) through the skin at the front of the abdomen and the wall of the jejunum (part of the small intestine). It can be performed either endoscopically, or with formal surgery.[1]

A jejunostomy may be formed following bowel resection in cases where there is a need for bypassing the distal small bowel and/or colon due to a bowel leak or perforation. Depending on the length of jejunum resected or bypassed the patient may have resultant short bowel syndrome and require parenteral nutrition.[2]

A jejunostomy is different from a jejunal feeding tube which is an alternative to a gastrostomy feeding tube commonly used when gastric enteral feeding is contraindicated or carries significant risks. The advantage over a gastrostomy is its low risk of aspiration due to its distal placement. Disadvantages include small bowel obstruction, ischemia, and requirement for continuous feeding.


The Witzel jejunostomy is the most common method of jejunostomy creation.[3] It is an open technique where the jejunosotomy is sited 30 cm distal to the Ligament of Treitz on the antimesenteric border, with the catheter tunneled in a seromuscular groove.

See also


  1. ^ Pearce, C B; Duncan, HD (2002). "Enteral feeding. Nasogastric, nasojejunal, percutaneous endoscopic gastrostomy, or jejunostomy: Its indications and limitations". Postgraduate Medical Journal 78 (918): 198–204.  
  2. ^ Nightingale, J; Woodward, JM; Small Bowel Nutrition Committee of the British Society of Gastroenterology (2006). "Guidelines for management of patients with a short bowel". Gut 55 (Suppl 4): iv1–12.  
  3. ^ Tapia J, Murguia R, Garcia G, de los Monteros PE, Oñate E (1999). "Jejunostomy: techniques, indications, and complications". World Journal of Surgery 23 (6): 596–602.  

This article was sourced from Creative Commons Attribution-ShareAlike License; additional terms may apply. World Heritage Encyclopedia content is assembled from numerous content providers, Open Access Publishing, and in compliance with The Fair Access to Science and Technology Research Act (FASTR), Wikimedia Foundation, Inc., Public Library of Science, The Encyclopedia of Life, Open Book Publishers (OBP), PubMed, U.S. National Library of Medicine, National Center for Biotechnology Information, U.S. National Library of Medicine, National Institutes of Health (NIH), U.S. Department of Health & Human Services, and, which sources content from all federal, state, local, tribal, and territorial government publication portals (.gov, .mil, .edu). Funding for and content contributors is made possible from the U.S. Congress, E-Government Act of 2002.
Crowd sourced content that is contributed to World Heritage Encyclopedia is peer reviewed and edited by our editorial staff to ensure quality scholarly research articles.
By using this site, you agree to the Terms of Use and Privacy Policy. World Heritage Encyclopedia™ is a registered trademark of the World Public Library Association, a non-profit organization.

Copyright © World Library Foundation. All rights reserved. eBooks from Project Gutenberg are sponsored by the World Library Foundation,
a 501c(4) Member's Support Non-Profit Organization, and is NOT affiliated with any governmental agency or department.