Catheter jejunostomy

Anatomy Perioperative management Technique Complications Evidence Total Video

Abdominal paracentesis

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

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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.
Intestinal catheter fixation

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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.