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Perioperative management - Catheter Jejunostomy

  1. Indication

    After any form of esophageal replacement surgery, as well as optionally in gastrectomy or hiatal extended gastrectomy, it is recommended to insert a jejunal feeding tube. This allows any suture insufficiencies, e.g., of the esophagus, to be bridged postoperatively. In cases of protracted convalescence, an additional enteral nutrition option is available.

  2. Initiation and Termination of Nutrition

    • The catheter jejunostomy can be infused with tea at 30 ml/h starting from the 2nd postoperative day, from the 3rd postoperative day consisting of half tea, half enteral nutrition solution, and increased in quantity.
    • After termination of the enteral supplementary nutrition, the jejunal catheter can be pulled percutaneously. A small bowel fistula is not to be expected.
Informed Consent

Catheter dislocation with intraperitoneal infusion and peritonitisIleusSmall bowel fistulaBleedingP

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