Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
1996-11-14
|
pubmed:abstractText |
Surgical access for nutrition is required in a variety of pediatric disorders. In some, the presence of gastroesophageal reflux, poor gastric emptying, and risks for fundoplication favor the use of a jejunostomy. The significant problems associated with the simple loop jejunostomy can be avoided by using the Roux-en-Y configuration. The stoma can be fashioned either Brook-style (intubatable) or Stamm-style (modified Maydl, permanently intubated). Both types are used at the authors' institution and are compared in this retrospective review. During a 27-month period, 22 Roux-en-Y jejunostomies were performed; nine of them had the Brook-style stoma and 13 had the modified Maydl stoma. Significant complications requiring reoperation occurred in three (33%) patients with a Brook-style jejunostomy: prolapse, leakage, and perforation of the stoma. None of the patients with modified Maydl jejunostomies required reoperation; problems were encountered more with the care of the permanently intubated stoma. Therefore, our preferred choice for a feeding jejunostomy is the modified Maydl approach.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Jun
|
pubmed:issn |
0022-3468
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
31
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
791-3
|
pubmed:dateRevised |
2004-11-17
|
pubmed:meshHeading |
pubmed-meshheading:8783105-Adolescent,
pubmed-meshheading:8783105-Anastomosis, Roux-en-Y,
pubmed-meshheading:8783105-Catheters, Indwelling,
pubmed-meshheading:8783105-Child,
pubmed-meshheading:8783105-Child, Preschool,
pubmed-meshheading:8783105-Female,
pubmed-meshheading:8783105-Humans,
pubmed-meshheading:8783105-Infant,
pubmed-meshheading:8783105-Intubation, Gastrointestinal,
pubmed-meshheading:8783105-Jejunostomy,
pubmed-meshheading:8783105-Male,
pubmed-meshheading:8783105-Retrospective Studies,
pubmed-meshheading:8783105-Silicone Elastomers
|
pubmed:year |
1996
|
pubmed:articleTitle |
Roux-en-Y jejunostomy in the pediatric population.
|
pubmed:affiliation |
Izaak Walton Killam Hospital for Sick Children, Halifax, Nova Scotia, Canada.
|
pubmed:publicationType |
Journal Article
|