■空肠吻合术(FJ)是肠内营养的常用外科手术之一,但肠套叠是一种非常罕见的并发症,具有相当挑战性的临床结果。它象征着需要及时诊断的外科紧急情况。
■空肠吻合术(FJ)是一种较小的手术干预措施,这可能导致潜在致命的后果。机械问题,如感染,管错位或迁移,电解质和液体不平衡,以及胃肠道的抱怨,是最常见的后果。一位76岁的女性,谁是已知的食管癌(CA)病例:东部合作肿瘤学组(ECOG)第3类的第4阶段,出现吞咽困难和呕吐的投诉。作为姑息治疗的一部分,FJ完成,患者在术后第2天(POD)出院。患者在2个月后再次出现腹部疼痛的主诉到急诊科,不能通过排气和大便2天。进行了对比增强计算机断层扫描,显示空肠肠套叠,以引线点为饲管尖端。在FJ管插入部位远端20厘米处注意到空肠环肠套叠,以饲管尖端为引导点。肠loop的减少是通过轻轻压缩远端部分来实现的,并且被发现是可行的。然后移除FJ管并重新定位,之后阻塞得到缓解。肠套叠是一种极为罕见的FJ并发症,其中临床表现可能是小肠梗阻的各种原因。FJ的致命并发症如肠套叠可以通过记住一些技术因素来预防,例如将空肠的4-5厘米段连接到腹壁,而不是单点固定,并在十二指肠空肠(DJ)弯曲和FJ部位之间保持15厘米的最小距离。
UNASSIGNED: Feeding jejunostomy (FJ) is one of the frequently performed surgical procedures for enteral nutrition, but intussusception a very rare complication with quite challenging clinical outcome. It symbolizes a surgical emergency requiring prompt diagnosis.
UNASSIGNED: Feeding jejunostomy (FJ) is a minor surgical intervention, which might lead to consequences that are potentially fatal. Mechanical issues such as infection, tube dislocation or migration, electrolyte and fluid imbalances, as well as complaints of gastrointestinal tract, are the most frequent consequences. A 76-year-old female, who is a known
case of carcinoma (CA) esophagus: Stage 4 with Eastern Cooperative Oncology Group (ECOG) Class 3 presented with complaints of difficulty in swallowing and vomiting. As a part of palliative treatment, FJ is done and patient was discharged on postoperative day (POD) 2. Patient again presented to emergency department after 2 months with complaints of pain abdomen, unable to pass flatus and stools for 2 days. Contrast-enhanced computed tomography was done, which revealed intussusception of jejunum with lead point as tip of feeding tube. Intussusception of jejunal loops is noted 20 centimeters distal to the site of insertion of FJ tube with tip of feeding tube as lead point. Reduction of bowel loops was achieved by gentle compression of distal part and are found to be viable. FJ tube was then removed and repositioned after which the obstruction got relieved. Intussusception is an extremely rare complication of FJ, where the clinical presentation can be likely to the various causes of small bowel obstruction. The fatal complications like intussusception in FJ can be prevented by remembering some technical considerations, such as attaching a 4-5 cm segment of the jejunum to the abdominal wall rather than a single-point fixation and maintaining a minimum distance of 15 cm between the duodenojejunal (DJ) flexure and the FJ site.