Jejunojejunal Intussusception: An Unusual Complication Of Feeding Jejunostomy.

Abstract

BackgroundImportance of early postoperative enteral feeding by placement of feeding jejunostomy catheter is widely accepted after oesophagogastrectomy. However very little attention has been paid to the surgical complications and their consequences following feeding jejunostomy. Feeding jejunostomy can lead to serious surgical complications necessitating relaparotomy.Methods150 patients underwent oesophagogastrectomy for carcinoma oesophagus between Jan 2005 to Jan 2008.In all these patients feeding jejunostomy was done at the end of procedure for postoperative enteral feeding. All these patients were prospectively evaluated in the database for surgical complications related to feeding jejunostomy.ConclusionFeeding jejunostomy for enteral feeding after oesophagogastrectomy can lead to severe surgical complications sometimes necessitating relaparotomy. Modifying surgical technique does decrease the incidence of jejunojejunal intussusception. Relaparotomy lead to increased morbidity in these patients.