Feeding jejunostomy in children: safety, effectiveness and perspectives
Topic overview
This retrospective study evaluates surgical jejunostomy safety and effectiveness in 14 pediatric patients over 8 years, predominantly those with severe neurological impairment and gastroesophageal reflux. Results show low major complication rates and suggest jejunostomy serves best as temporary or bridge therapy in selected patients.
Key takeaways
- Surgical jejunostomy in children shows acceptable safety with low major complication rates when used as temporary nutritional support.
- Most pediatric jejunostomy patients (64%) have severe neurological impairment; gastroesophageal reflux is the most common indication.
- Neither Roux-en-Y nor omega jejunostomy technique demonstrates clear superiority in pediatric patients.
- 36% of patients successfully discontinued jejunal feeding, suggesting it can serve as effective bridge therapy to avoid more invasive procedures.
- Surgical jejunostomy should be considered a temporary or bridge treatment in selected pediatric cases rather than definitive management.
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How to cite: GlobalCastMD. Feeding jejunostomy in children: safety, effectiveness and perspectives. GlobalCastMD Medical Library. 2024-11-27. https://dev.library.globalcastmd.com/article/9467?via_space=staycurrentmd
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