PMID: 6406706Mar 1, 1983Paper

Massive pneumatosis intestinalis and subcutaneous emphysema: complication of needle catheter jejunostomy

JPEN. Journal of Parenteral and Enteral Nutrition
T H CogbillJ C Rudikoff

Abstract

The safety and efficacy of enteral feeding by needle catheter jejunostomy has prompted its use after many major gastrointestinal operations. Indeed, the technical complications of this procedure are infrequent. This report details the development of massive pneumatosis intestinalis associated with elemental feeding via jejunostomy. The proposed etiology includes excessive gas accumulation within the small intestine secondary to 1) inadequate nasogastric suction, 2) post-traumatic intestinal ileus, and 3) disaccharide fermentation; combined with a mucosal defect created by the catheter jejunostomy. Successful management consists of nasogastric suction and immediate termination of the enteral feeding.

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Citations

Feb 1, 1986·World Journal of Surgery·M Heberer, F Harder
Jan 1, 1988·Dysphagia·J V Sitzmann, R Mueller
Apr 4, 2002·Radiology·Laura R CarucciHans Herlinger
May 1, 1991·Gastrointestinal Endoscopy·G StathopoulosJ M Harig
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Sep 1, 1983·JPEN. Journal of Parenteral and Enteral Nutrition·J S Thompson
Jun 1, 1995·The British Journal of Surgery·S E WakefieldB L Dowling
Oct 1, 1996·The Australian and New Zealand Journal of Surgery·R J BaigrieD S Watkin
Jun 26, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Daniel P NussbaumDan G Blazer
Aug 19, 2020·The Journal of International Medical Research·Hendrik Christian AlbrechtStephan Gretschel
Apr 13, 1995·British Journal of Nursing : BJN·A Anderton

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