jejunostomier

Jejunostomy is a surgical procedure that creates an artificial opening (stoma) between the jejunum, the middle section of the small intestine, and the abdominal wall. This procedure is typically performed to provide an alternative route for feeding or drainage when the normal digestive pathway is obstructed or nonfunctional.

The jejunum is responsible for the majority of nutrient absorption in the small intestine. A jejunostomy allows for direct delivery of nutrients into this section, bypassing the stomach and upper small intestine. This method is particularly useful in patients who cannot tolerate oral feeding or have conditions that prevent adequate nutrition through the mouth.

Jejunostomies are often used in patients with severe gastrointestinal disorders, such as Crohn’s disease, pancreatic cancer, or severe esophageal strictures. They may also be employed in cases of prolonged mechanical ventilation, where enteral feeding is necessary but oral intake is not feasible. The procedure can be performed as an open surgery or laparoscopically, depending on the clinical situation.

A jejunostomy tube is inserted through the stoma to deliver liquid nutrition directly into the jejunum. The tube is typically secured externally to prevent dislodgment and is connected to a feeding pump or gravity-fed system. Proper care of the stoma site is essential to prevent infection and complications such as leakage or blockage.

Patients with a jejunostomy require regular monitoring to ensure proper function and nutrition. Complications can include tube dislodgment, infection, bowel obstruction, or metabolic imbalances. Long-term management often involves dietary adjustments, tube maintenance, and follow-up with healthcare providers to address any issues that arise. The procedure is generally considered a life-saving intervention for individuals with severe digestive system dysfunction.