Yeyunostomía de alimentación en cirugía. Contribución técnica y experiencia
DOI:
https://doi.org/10.31053/1853.0605.v58.n1.37035Keywords:
yeyunostomy, enteral feeding, surgical technique, experienceAbstract
The necessity to maintain the nutritional integrity in patients subjected to major surgery of the superior digestive tract has been broadly accepted. The enteral nutrition for yeyunostorny is accepted as more physiologic, sure and effective than the parenteral one. Materials ami Method: 171 yeyunostomies were indicated in: 151 patients with rnahignant neoplasm of the superior digestive
lract, 15 with infected pancreatíc necrosis, 3 hi le-duodenum-pancreatic traumatisms and in 1 stenosis for gastroesophagic reflux.
Depending on the pathological type, a yeyunostorny using the Witzell technique was carried out with either local or general
anesthesia ata 15 to 20 cm. of the Treitz angle. To facihitate the fixation of the catheter and to avoid the stenosis of the jejunum we have incorporated, as an original technical detail, the proximal serous section with cold scalpel in about 4 cm, that is to say in the sector to be tunneled. Results: There was not mortality in relation to the yeyunostomy. Among the minor complications we crnphasize the abdominal distension, cohic pain and diarrhea, situations that were reverted, controlling the debit and the feedi ng characteri sties. This approach could be maintained for period of 2 months and in sorne cases at home.
Conclusions: Wc emphasize the great importance of the enteral feeding for yeyunostomy, for its of easy handling, security
and low cost that, together with the suggested technical detail, has allowed us to obtain a deeding road almost without inherent
complications.
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