Feeds were begun using the jejunostomy tube
on the second day after surgery.
All the other tube insertions involved a smaller jejunostomy tube
. The LPN had not noticed that the original tubing was longer than the tube used at the facility.
Cogen et al., "Complications of Jejunostomy Tube
Feeding in Nursing Facility Patients," American Journal of Gastroenterology 86 (1991):1610-13.
A feeding jejunostomy tube
was then inserted and enteral feeding initiated (Figure 2(b)).
The same process was followed for feeding tubes (naso-gastric tube, gastro jejunostomy tube
, gastrostomy tube, jejunostomy tube
, duodenal tube, enteral tube, duodenal tube, and percutaneous endoscopic gastrostomy tube).
In our patient, there was no leadpoint no feeding jejunostomy tube
; we found intra-operatively that the intussusception was 20 cm away from the gastrojejunostomy site.
* A gastrostomy or jejunostomy tube
should be considered instead if patients are likely to have prolonged need for a nasogastric tube.
Patients who receive their medications through a jejunostomy tube
would require the immediate activation of the drug so absorption would occur as normal in the alkaline environment of the intestines.
Oral fluids were started after clamping the feeding jejunostomy tube
on 7th post-operative day.
Most notably included in the recommended procedure for administering enteral nutrition through a nasogastric, gastrostomy, or jejunostomy tube
is the verification of tube placement position by methods that include observing the color and pH of gastric aspirate before each feeding or administration of a medication (Craven & Hirnle, 2009; Perry & Potter, 2010; Wilkinson & Treas, 2011).
He had a jejunostomy tube
for tube feedings and was discharged home on postoperative day 11.