Feeding the gut after revisional bariatric surgery: The fate of 126 enteral access tubes

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Andrew T StrongJohn H Rodriguez

Abstract

Revisional bariatric surgery (RBS) is associated with higher complication rates compared with primary bariatric surgery. Feeding tubes (FTs), including gastrostomy and jejunostomy tubes placed during RBS, may serve as a safety net to provide nutrition when oral intake is contraindicated or limited; however, FTs in this setting have not been well investigated. This study aims to determine complications, use, and duration of FTs placed during RBS. A high-volume academic medical center in the United States. Included patients underwent RBS between January 2008 and December 2016 with FTs placed at the time of RBS. There were 126 patients identified (84.9% female, 76.2% Caucasian, mean age 53.4-±10.9 yr). Patients had previously undergone Roux-en-Y gastric bypass (34.1%), vertical banded gastroplasty (27.8%), and adjustable gastric band (14.3%). Indications for RBS included correction of complication of prior bariatric surgeries (50%), weight regain/failure to lose weight (32.3%), or both (17.3%). Most FTs were placed in the excluded stomach (89.7%), and median tube size was 18 F. FTs were used for feeding in 68.2% of patients, with feeding initiated in a median of 2 days. Leakage around the tube (32.5%) and pain (26.8%) were common ...Continue Reading

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