Jejunostoma

A jejunostoma ( Latin ieiunum / jejunum "empty intestine" and ancient Greek στόμα stoma "mouth") or a jejunostomy describes a connection created by a doctor between the abdominal wall and the upper small intestine (jejunum). An intestinal tube is placed through this opening for enteral nutrition .

A jejunostoma can be created surgically using an open or laparoscopic operation or interventional-endoscopically using an extended jejunoscopy . In the latter case, it is called a percutaneous endoscopic jejunostomy (PEJ).

This must be distinguished from the JET-PEG ( “Jejunal Sond through PEG” ), a probe that is advanced into the small intestine by a PEG and is often also referred to as PEJ.

indication

The creation of a jejunostomy is necessary if, on the one hand, the indication for tube feeding is given (see PEG ), but tube feeding is not possible from the stomach into the small intestine. This can be the case with a gastric outlet obstruction , as it occurs with inoperable gastric cancer (stomach cancer) or scarring from chronic ulcer disease (stomach or duodenal ulcer). In other cases, nutrition via the PEG leads to high-grade gastroesophageal reflux up to life-threatening retrograde aspiration of gastric contents; in these cases, a jejunostomy can be used to remedy the situation, as food reflux from the small intestine to the stomach usually does not occur due to the lively peristalsis of the small intestine .

Web links

• Jürgen Stein (Hrsg.): Practical manual for clinical nutrition and infusion therapy: with 480 tables; [with guidelines of the companies] . Springer, 2003, ISBN 3-540-41925-X , pp. 306 ( limited preview in Google Book search).

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !