Feasibility and safety of needle catheter jejunostomy for enteral nutrition in surgically treated severe acute pancreatitis
BACKGROUND: The role of the gut in the development of septic complications and promising clinical results have led to a shift from the parenteral to the enteral route for nutrition support of patients with acute pancreatitis. In patients undergoing surgery for severe necrotizing pancreatitis, the ap...
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| Veröffentlicht in: | JPEN. Journal of parenteral and enteral nutrition 2004-09, Vol.28 (5), p.324-327 |
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| creator | Weimann, A Braunert, M Muller, T Bley, T Wiedemann, B |
| description | BACKGROUND: The role of the gut in the development of septic complications and promising clinical results have led to a shift from the parenteral to the enteral route for nutrition support of patients with acute pancreatitis. In patients undergoing surgery for severe necrotizing pancreatitis, the application of a needle catheter jejunostomy might be useful. However, there is a shortage of clinical data on its feasibility and possible harmful effect. METHODS: Between January 1999 and December 2002, 13 patients were operated for severe acute necrotizing pancreatitis. At the time of surgery, needle catheter jejunostomy was performed using a standard technique. Enteral nutrition was initiated without a strict protocol by feeding small amounts of a standard diet and carefully monitoring patient tolerance. As long as necessary, patients were also fed parenterally in order to achieve target caloric goals. RESULTS: No major tube- or feeding-related complications were observed. A single case of tube dislodgement caused by manipulation during relaparotomy for lavage occurred and was rectified during the same operation. CONCLUSIONS: In patients undergoing surgery for severe acute pancreatitis, needle catheter jejunostomy for long-term enteral nutrition can be applied with no additional risk. |
| doi_str_mv | 10.1177/0148607104028005324 |
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In patients undergoing surgery for severe necrotizing pancreatitis, the application of a needle catheter jejunostomy might be useful. However, there is a shortage of clinical data on its feasibility and possible harmful effect. METHODS: Between January 1999 and December 2002, 13 patients were operated for severe acute necrotizing pancreatitis. At the time of surgery, needle catheter jejunostomy was performed using a standard technique. Enteral nutrition was initiated without a strict protocol by feeding small amounts of a standard diet and carefully monitoring patient tolerance. As long as necessary, patients were also fed parenterally in order to achieve target caloric goals. RESULTS: No major tube- or feeding-related complications were observed. A single case of tube dislodgement caused by manipulation during relaparotomy for lavage occurred and was rectified during the same operation. CONCLUSIONS: In patients undergoing surgery for severe acute pancreatitis, needle catheter jejunostomy for long-term enteral nutrition can be applied with no additional risk.</description><identifier>ISSN: 0148-6071</identifier><identifier>EISSN: 1941-2444</identifier><identifier>DOI: 10.1177/0148607104028005324</identifier><identifier>PMID: 15449571</identifier><identifier>CODEN: JPENDU</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acute Disease ; Adult ; Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis ; Catheterization ; Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition ; Emergency and intensive care: techniques, logistics ; Enteral Nutrition - adverse effects ; Enteral Nutrition - methods ; Female ; Humans ; Intensive care medicine ; Intubation, Gastrointestinal ; Jejunostomy - adverse effects ; Jejunostomy - methods ; Male ; Medical sciences ; Middle Aged ; Pancreatitis - surgery ; Pancreatitis - therapy ; Perfusions. Catheterizations. Hyperbaric oxygenotherapy ; Postoperative Complications - epidemiology ; Risk Factors ; Transfusions. Complications. Transfusion reactions. Cell and gene therapy ; Treatment Outcome</subject><ispartof>JPEN. 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Journal of parenteral and enteral nutrition</title><addtitle>JPEN J Parenter Enteral Nutr</addtitle><description>BACKGROUND: The role of the gut in the development of septic complications and promising clinical results have led to a shift from the parenteral to the enteral route for nutrition support of patients with acute pancreatitis. In patients undergoing surgery for severe necrotizing pancreatitis, the application of a needle catheter jejunostomy might be useful. However, there is a shortage of clinical data on its feasibility and possible harmful effect. METHODS: Between January 1999 and December 2002, 13 patients were operated for severe acute necrotizing pancreatitis. At the time of surgery, needle catheter jejunostomy was performed using a standard technique. Enteral nutrition was initiated without a strict protocol by feeding small amounts of a standard diet and carefully monitoring patient tolerance. As long as necessary, patients were also fed parenterally in order to achieve target caloric goals. RESULTS: No major tube- or feeding-related complications were observed. A single case of tube dislodgement caused by manipulation during relaparotomy for lavage occurred and was rectified during the same operation. CONCLUSIONS: In patients undergoing surgery for severe acute pancreatitis, needle catheter jejunostomy for long-term enteral nutrition can be applied with no additional risk.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</subject><subject>Catheterization</subject><subject>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</subject><subject>Emergency and intensive care: techniques, logistics</subject><subject>Enteral Nutrition - adverse effects</subject><subject>Enteral Nutrition - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Intubation, Gastrointestinal</subject><subject>Jejunostomy - adverse effects</subject><subject>Jejunostomy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pancreatitis - surgery</subject><subject>Pancreatitis - therapy</subject><subject>Perfusions. Catheterizations. Hyperbaric oxygenotherapy</subject><subject>Postoperative Complications - epidemiology</subject><subject>Risk Factors</subject><subject>Transfusions. Complications. Transfusion reactions. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</topic><topic>Catheterization</topic><topic>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</topic><topic>Emergency and intensive care: techniques, logistics</topic><topic>Enteral Nutrition - adverse effects</topic><topic>Enteral Nutrition - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Intubation, Gastrointestinal</topic><topic>Jejunostomy - adverse effects</topic><topic>Jejunostomy - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pancreatitis - surgery</topic><topic>Pancreatitis - therapy</topic><topic>Perfusions. Catheterizations. Hyperbaric oxygenotherapy</topic><topic>Postoperative Complications - epidemiology</topic><topic>Risk Factors</topic><topic>Transfusions. Complications. Transfusion reactions. Cell and gene therapy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weimann, A</creatorcontrib><creatorcontrib>Braunert, M</creatorcontrib><creatorcontrib>Muller, T</creatorcontrib><creatorcontrib>Bley, T</creatorcontrib><creatorcontrib>Wiedemann, B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>British Nursing Database</collection><collection>eLibrary</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>JPEN. Journal of parenteral and enteral nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weimann, A</au><au>Braunert, M</au><au>Muller, T</au><au>Bley, T</au><au>Wiedemann, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility and safety of needle catheter jejunostomy for enteral nutrition in surgically treated severe acute pancreatitis</atitle><jtitle>JPEN. Journal of parenteral and enteral nutrition</jtitle><addtitle>JPEN J Parenter Enteral Nutr</addtitle><date>2004-09</date><risdate>2004</risdate><volume>28</volume><issue>5</issue><spage>324</spage><epage>327</epage><pages>324-327</pages><issn>0148-6071</issn><eissn>1941-2444</eissn><coden>JPENDU</coden><abstract>BACKGROUND: The role of the gut in the development of septic complications and promising clinical results have led to a shift from the parenteral to the enteral route for nutrition support of patients with acute pancreatitis. In patients undergoing surgery for severe necrotizing pancreatitis, the application of a needle catheter jejunostomy might be useful. However, there is a shortage of clinical data on its feasibility and possible harmful effect. METHODS: Between January 1999 and December 2002, 13 patients were operated for severe acute necrotizing pancreatitis. At the time of surgery, needle catheter jejunostomy was performed using a standard technique. Enteral nutrition was initiated without a strict protocol by feeding small amounts of a standard diet and carefully monitoring patient tolerance. As long as necessary, patients were also fed parenterally in order to achieve target caloric goals. RESULTS: No major tube- or feeding-related complications were observed. A single case of tube dislodgement caused by manipulation during relaparotomy for lavage occurred and was rectified during the same operation. CONCLUSIONS: In patients undergoing surgery for severe acute pancreatitis, needle catheter jejunostomy for long-term enteral nutrition can be applied with no additional risk.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>15449571</pmid><doi>10.1177/0148607104028005324</doi><tpages>4</tpages></addata></record> |
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| subjects | Acute Disease Adult Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis Catheterization Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition Emergency and intensive care: techniques, logistics Enteral Nutrition - adverse effects Enteral Nutrition - methods Female Humans Intensive care medicine Intubation, Gastrointestinal Jejunostomy - adverse effects Jejunostomy - methods Male Medical sciences Middle Aged Pancreatitis - surgery Pancreatitis - therapy Perfusions. Catheterizations. Hyperbaric oxygenotherapy Postoperative Complications - epidemiology Risk Factors Transfusions. Complications. Transfusion reactions. Cell and gene therapy Treatment Outcome |
| title | Feasibility and safety of needle catheter jejunostomy for enteral nutrition in surgically treated severe acute pancreatitis |
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