Abstract
Jejunal feeding has demonstrated marked advantages over gastric feeding in the management of neurologically impaired children affected by gastroesophageal reflux disease (GERD). Jejunal feeding tubes significantly reduce the risk of aspiration, often observed when gastric tubes are placed in these patients. This chapter outlines the operation room setup, patient positioning, special instruments and port placement sites for the placement of jejunal tubes using minimal access techniques. The indications, preoperative considerations and technical notes for laparoscopic-assisted jejunostomy have been listed. High-quality images demonstrate step-by-step the procedure of laparoscopic-assisted jejunostomy.
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Esposito C, Settimi A, Centonze A, Capano G, Ascione G ?(2005) Laparoscopic-assisted jejunostomy. An effective procedure for the treatment of neurologically impaired children with feeding problems and gastroesophageal reflux. Surg Endosc 19:501–504
Murayama KM, Johnson T, Thompson J (1996) Laparoscopic gastrostomy and jejunostomy are safe and effective for obtaining enteral access. Am J Surg 172:?591–594
Wales PW, Diamond IR, Dutta S, Muraca S, Chait P, Connolly B, Langer JC (2002) Fundoplication and gastrostomy versus image-guided gastrojejunal tube for enteral feeding in neurologically impaired children with gastroesophageal reflux. J Pediatr Surg 37:407–412
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© 2009 Springer-Verlag Berlin Heidelberg
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Esposito, C., Grimaldi, C. (2009). Laparoscopic-Assisted Jejunostomy. In: Saxena, A., Höllwarth, M. (eds) Essentials of Pediatric Endoscopic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78387-9_32
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DOI: https://doi.org/10.1007/978-3-540-78387-9_32
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-78386-2
Online ISBN: 978-3-540-78387-9
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