Author: Flanagan, Latham

Source: Obesity Surgery, Volume 1, Number 3, September 1991 , pp. 299-303(5)

Publisher: Springer

Abstract:

The safety and efficacy of the needle catheter jejunostomy (NCJJ) is evaluated in 200 consecutive, prospectively studied gastric bypass procedure patients with a follow-up of 6 months to 9.5 years. The NCJJ was used in place of intravenous fluid administration from the first postoperative day to supplement oral fluids for 6 weeks postoperatively and for complete temporary supplementation in 16 patients with viral illness or pouch outlet obstruction, thus avoiding re-hospitalization for rehydration. We did not use X-ray confirmation of the catheter placement. Analysis revealed no major complications with no catheter dislodgement, associated intra-abdominal sepsis or late bowel obstruction. There were 24 (12%) subcutaneous infections, only four (2%) of which required minor incisions and drainage under local anesthesia. Risk factors for the infections were insulin-dependent diabetes mellitus and the actual withdrawal of the NCJJ (50% of the infections occurred at this time). The NCJJ has been a safe, useful and cost-effective adjunct in the operative management of the morbidly obese patient.

Keywords: Enteral nutrition; gastric bypass procedure; gastroplasty; morbid obesity; needle catheter jejunostomy

Document Type: Research article

DOI: http://dx.doi.org/10.1381/096089291765561042

Publication date: 1991-09-01

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