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Abstract : |
Feeding difficulties is an important problem of some patients (postoperative feeding in major interventions, acute pancreatitis etc.). Many of these patients are managed by jejunostomy. This paper presents the surgical technique for temporary or permanent jejunostomy by laparoscopic and open approach. Standard technique is Witzel jejunostomy but in some cases it is indicated other types of interventions: Stamm, Liffmann, Albert or Roux jejunostomy. It is also presented postoperative complications. Jejunostomy is a safe and effective procedure for enteral feeding but this operation has some â€â€critical technique pointsâ€‌. , |
