Laparoscopic Witzel jejunostomy

Lotti, Marco; Capponi, M; Ferrari, Denise; Carrara, Giulia; Campanati, Luca; Lucianetti, A.

doi:10.4103/jmas.jmas_248_19

Cited by 2 publications

(3 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…reported a novel technique for establishing a laparoscopic jejunostomy tube using a single barbed suture to secure the bowel and tunnelling the jejunostomy catheter according to the Witzel technique. [ 6 ] In our case, tunnelling of the jejunostomy catheter was performed by extracting the jejunum from the umbilicus port site. We also used the thread to wrap in the seromuscular layer to fix the jejunum and the abdominal wall for similar purposes.…”

Section: Discussionmentioning

confidence: 99%

Safe and secure laparoscopy-assisted jejunostomy tube placement using a percutaneous loop needle device in an infant

Matsukubo

Muto

Onishi

et al. 2023

Journal of Minimal Access Surgery

View full text Add to dashboard Cite

We, herein, report a surgical technique for laparoscopy-assisted jejunostomy tube placement in an infant using a loop needle device to fix the jejunum and abdominal wall. A 3-year-old boy with Down’s syndrome underwent nutritional management by gastrostomy due to oral feeding difficulty after radical surgery for congenital duodenal stenosis and following bile duct stenosis. However, intractable gastrostomy site leakage emerged; hence, laparoscopy-assisted gastrostomy takedown and simultaneous laparoscopy-assisted jejunostomy tube placement were planned. After laparoscopy-assisted gastrostomy closure was performed, the jejunum was extracted through the umbilical trocar wound. A jejunostomy tube kit was inserted at the left side of the umbilicus. After tube insertion into the jejunum, the jejunostomy tube was wrapped with four interrupted sutures using the Witzel technique. Suture threads were extracted by percutaneous insertion of a loop needle device, and then, the jejunum was fixed to the abdominal wall. The post-operative course was uneventful. Percutaneous insertion of a loop needle device is useful for fixing a jejunostomy tube to the abdominal wall using the Witzel technique. Our technique is safe, secure and expected to reduce the risk of dislodgement of tube and peritonitis associated with jejunostomy tube placement.

show abstract

Section: Discussionmentioning

confidence: 99%

Safe and secure laparoscopy-assisted jejunostomy tube placement using a percutaneous loop needle device in an infant

Matsukubo

Muto

Onishi

et al. 2023

Journal of Minimal Access Surgery

View full text Add to dashboard Cite

show abstract

“…Although several techniques of LFJ have been described, the Witzel approach has not been performed widely due to perceived difficulties in suturing the bowel around the tube and anchoring it to the abdominal wall [ 3 , 4 ]. For these reasons, Witzel feeding jejunostomy has limited literature reports (compared with open jejunostomy) and has not been widely discussed as a routinely performed laparoscopic procedure [ 5 , 6 ].…”

mentioning

confidence: 99%

“…The Witzel approach is often the preferred procedure during open surgery for several reasons [ 3 ]. In this study, the authors demonstrated that laparoscopic Witzel feeding jejunostomy is a safe and feasible procedure.…”

mentioning

confidence: 99%

Feasibility of laparoscopic Witzel feeding jejunostomy

Song

2023

J Minim Invasive Surg

View full text Add to dashboard Cite

Laparoscopic Witzel jejunostomy

Cited by 2 publications

References 1 publication

Safe and secure laparoscopy-assisted jejunostomy tube placement using a percutaneous loop needle device in an infant

Safe and secure laparoscopy-assisted jejunostomy tube placement using a percutaneous loop needle device in an infant

Feasibility of laparoscopic Witzel feeding jejunostomy

Contact Info

Product

Resources

About