Mortality associated with feeding catheter jejunostomy after radical cystectomy

Brenner, David; Schellhammer, Paul F.

doi:10.1016/0090-4295(87)90296-2

Cited by 17 publications

(7 citation statements)

References 9 publications

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“…69 Complications have included abscess at the catheter site and bowel obstruction .70,71 Diarrhea, pneumatosis intestinalis, and bowel infarction have been associated with jejunostomy feedings, particularly in patients who are hemodynamically unstable; however, this does not seem to be tube-specific. 69,[72][73][74][75] Catheters originally designed for other uses have been adapted for jejunal feeding. The red rubber catheter is probably used most frequently.…”

Section: Gastrostomymentioning

confidence: 99%

Invited Review: Enteral Access

Minard

1994

Nut in Clin Prac

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The enteral route is the preferred method of nutrition support in patients with functional gastrointestinal tracts. Many techniques for obtaining enteral access are available, and the decision regarding which one to use depends on several issues, including anticipated duration of support, aspiration risk, and local expertise. Using laparotomy, laparoscopy, fluoroscopy, or endoscopy, tubes can be placed into the stomach, the duodenum, and the jejunum. Nasogastric and nasoenteric tubes are useful for short-term supplementation; however, patients needing support for more than 6 weeks may be better served with a more permanent tube. In this review, specific methods for obtaining enteral access are discussed along with their advantages and disadvantages.

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Section: Gastrostomymentioning

confidence: 99%

Invited Review: Enteral Access

Minard

1994

Nut in Clin Prac

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“…If an early postoperative feeding start is deemed necessary, cycled feeds have been shown to be tolerated better than those administered continuously [35]. Secondly, avoiding full strength or hyperosmolar feeding formulas during this time period may reduce the risk for the rare, yet devastating event of small bowel necrosis [29,36,37]. From the experience presented it is concluded that the JT placement and feeding technique described can be recommended for use after major upper gastrointestinal and pancreatobiliary resections, as it appears safe, well tolerated, and of suf®cient long-term function to meet the feeding support needs during the prolonged multidisciplinary postoperative treatment of some cancer patients.…”

Section: Discussionmentioning

confidence: 99%

Simple feeding jejunostomy technique for postoperative nutrition after major upper gastrointestinal resections

Schwarz¹

2002

Journal of Surgical Oncology

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“…Einige Fallberichte über schwere Dünndarmischämien mit konsekutiver Dünndarmgangrän, deren Ursache auf die Applikation einer enteralen Ernährungstherapie bezogen wurde [10,23,47,67,70] sowie das gehäufte Auftreten von Diarrhöen [27] erzeugten insbesondere von operativer Seite eine gewisse Reserve gegenüber postoperativer, enteraler Ernährung.…”

Section: Schlüsselwörterunclassified

Stellenwert immunnutritiver enteraler Ernährung in der operativen Intensivmedizin

et al. 2002

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Since imbalances in the immune system of the critically ill patient have been demonstrated, the role of the gastrointestinal tract for the pathogenesis of multiple organ failure has been a focus of research in intensive care medicine. Particularly, the integrity of the intestinal barrier function has been studied experimentally and clinically. The enormous number of gram-negative bacteria up to 10(11)/ml intestinal liquid inducing the release of significant amounts of endotoxin, is considered to be a vital threat to the intensive care unit (ICU) patient. Acute failure of the intestinal barrier following various types of severe shock or following parenteral nutrition inducing atrophy of intestinal mucosa may lead to multiple organ dysfunction. Maintenance of hemodynamic stability is a mainstay of therapy of the critically ill. In addition, the intestinal integrity can be preserved by the early onset of enteral nutrition. Moreover, recent concepts of enteral nutrition using immunomodulating nutrients like omega-3-fatty acids, glutamine, arginine, and nucleotides are under clinical evaluation.

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Mortality associated with feeding catheter jejunostomy after radical cystectomy

Cited by 17 publications

References 9 publications

Invited Review: Enteral Access

Invited Review: Enteral Access

Simple feeding jejunostomy technique for postoperative nutrition after major upper gastrointestinal resections

Stellenwert immunnutritiver enteraler Ernährung in der operativen Intensivmedizin

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