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Laparoscopic Witzel feeding jejunostomy: a procedure overlooked!
PURPOSE: Feeding jejunostomy (FJ) is a critical procedure to establish a source of enteral nutrition for upper gastrointestinal disorders. Minimally invasive surgery has the inherent benefit of better patient outcomes, less postoperative pain, and early discharge. This study aims to describe our tot...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Endo-Laparoscopic & Robotic Surgery
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10020746/ https://www.ncbi.nlm.nih.gov/pubmed/36936038 http://dx.doi.org/10.7602/jmis.2023.26.1.28 |
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author | Varshney, Peeyush N, Vignesh Varshney, Vaibhav Kumar Soni, Subhash Selvakumar, B Agarwal, Lokesh Swami, Ashish |
author_facet | Varshney, Peeyush N, Vignesh Varshney, Vaibhav Kumar Soni, Subhash Selvakumar, B Agarwal, Lokesh Swami, Ashish |
author_sort | Varshney, Peeyush |
collection | PubMed |
description | PURPOSE: Feeding jejunostomy (FJ) is a critical procedure to establish a source of enteral nutrition for upper gastrointestinal disorders. Minimally invasive surgery has the inherent benefit of better patient outcomes, less postoperative pain, and early discharge. This study aims to describe our total laparoscopic technique of Witzel FJ and to compare its outcome with its open counterpart. METHODS: A retrospective database analysis was performed in patients who underwent laparoscopic (n = 20) and open (n = 21) FJ as a stand-alone procedure from July 2018 to July 2022. A readily available nasogastric tube (Ryles tube) and routine laparoscopic instruments were used to perform laparoscopic FJ. Perioperative data and postoperative outcomes were analyzed. RESULTS: Baseline preoperative variables were comparable in both groups. The median operative duration in the laparoscopic FJ group was 180 minutes vs. 60 minutes in the open FJ group (p = 0.01). Postoperative length of hospital stay was 3 days vs. 4 days in the laparoscopic and open FJ groups, respectively (p = 0.08). Four patients in the open FJ group suffered from an immediate postoperative complication (none in the laparoscopic FJ group). After a median follow-up of 10 months, fewer patients in the laparoscopic FJ group had complications such as tube clogging, tube dislodgement, surgical-site infection, and small bowel obstruction. CONCLUSION: Laparoscopic FJ with the Witzel technique is a safe and feasible procedure with a comparable outcome to the open technique. Patient selection is vital to overcome the initial learning curve. |
format | Online Article Text |
id | pubmed-10020746 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | The Korean Society of Endo-Laparoscopic & Robotic Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-100207462023-03-18 Laparoscopic Witzel feeding jejunostomy: a procedure overlooked! Varshney, Peeyush N, Vignesh Varshney, Vaibhav Kumar Soni, Subhash Selvakumar, B Agarwal, Lokesh Swami, Ashish J Minim Invasive Surg Original Article PURPOSE: Feeding jejunostomy (FJ) is a critical procedure to establish a source of enteral nutrition for upper gastrointestinal disorders. Minimally invasive surgery has the inherent benefit of better patient outcomes, less postoperative pain, and early discharge. This study aims to describe our total laparoscopic technique of Witzel FJ and to compare its outcome with its open counterpart. METHODS: A retrospective database analysis was performed in patients who underwent laparoscopic (n = 20) and open (n = 21) FJ as a stand-alone procedure from July 2018 to July 2022. A readily available nasogastric tube (Ryles tube) and routine laparoscopic instruments were used to perform laparoscopic FJ. Perioperative data and postoperative outcomes were analyzed. RESULTS: Baseline preoperative variables were comparable in both groups. The median operative duration in the laparoscopic FJ group was 180 minutes vs. 60 minutes in the open FJ group (p = 0.01). Postoperative length of hospital stay was 3 days vs. 4 days in the laparoscopic and open FJ groups, respectively (p = 0.08). Four patients in the open FJ group suffered from an immediate postoperative complication (none in the laparoscopic FJ group). After a median follow-up of 10 months, fewer patients in the laparoscopic FJ group had complications such as tube clogging, tube dislodgement, surgical-site infection, and small bowel obstruction. CONCLUSION: Laparoscopic FJ with the Witzel technique is a safe and feasible procedure with a comparable outcome to the open technique. Patient selection is vital to overcome the initial learning curve. The Korean Society of Endo-Laparoscopic & Robotic Surgery 2023-03-15 2023-03-15 /pmc/articles/PMC10020746/ /pubmed/36936038 http://dx.doi.org/10.7602/jmis.2023.26.1.28 Text en Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Varshney, Peeyush N, Vignesh Varshney, Vaibhav Kumar Soni, Subhash Selvakumar, B Agarwal, Lokesh Swami, Ashish Laparoscopic Witzel feeding jejunostomy: a procedure overlooked! |
title | Laparoscopic Witzel feeding jejunostomy: a procedure overlooked! |
title_full | Laparoscopic Witzel feeding jejunostomy: a procedure overlooked! |
title_fullStr | Laparoscopic Witzel feeding jejunostomy: a procedure overlooked! |
title_full_unstemmed | Laparoscopic Witzel feeding jejunostomy: a procedure overlooked! |
title_short | Laparoscopic Witzel feeding jejunostomy: a procedure overlooked! |
title_sort | laparoscopic witzel feeding jejunostomy: a procedure overlooked! |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10020746/ https://www.ncbi.nlm.nih.gov/pubmed/36936038 http://dx.doi.org/10.7602/jmis.2023.26.1.28 |
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