Abstract

FERNANDEZ, T.; NEIRA, P.  and  ENRIQUEZ, C.. Enteral nutrition through long-term jejunostomy. Nutr. Hosp. [online]. 2008, vol.23, n.1, pp.75-77. ISSN 1699-5198.

We present the case of a female patient suffering a peritonitis episode after subtotal gastrectomy due to gastric neoplasm in relation to lesser curvature necrosis extending to the anterior esophageal wall. This an uncommon and severe complication that made mandatory further aggressive surgery: transection of the abdominal esophagus, transection of the gastric stump, and cervical esophagostomy with creation of a jejunostomy with a needle catheter for feeding. This digestive tube access technique is generally used during major abdominal post-surgery until oral intake is reestablished. Our patient has been 187 days with this therapy since reconstruction of the GI tract was ruled out due to tumoral infiltration of the colon and tumor recurrence at the gastrohepatic omentum. To date, there has been no complication from permanence and/or long-term use of this technique.

Keywords : Lesser curvature necrosis; Jejunostomy.

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