Catheter jejunostomy - general and visceral surgery

Puncture the right lateral abdominal wall with the peel-away cannula and insert the catheter into the abdominal cavity.

Locate the second loop  of the jejunum. Here, first puncture the serosa with the second peel-away cannula, then advance the cannula external to the mucosa for a distance of 6-8 cm before puncturing the mucous membrane.

Now insert the catheter into the lumen of the jejunum and remove the peel-away cannula.

Advance the catheter about 25 cm into the intestinal lumen and the close the intestinal insertion site of the catheter with a purse string suture.