Jejunostomy

Jejunostomy is a surgical operation that involves bringing the jejunum out through the abdominal wall and opening it. Sometimes this operation is performed to insert a catheter into the jejunum to briefly infuse nutrients or drugs through it.

With a jejunostomy, the surgeon makes a small incision in the abdominal wall and brings out a loop of jejunum. The intestine is then opened and an ostomy device is sutured to it. Through the hole in the stoma, nutritional mixtures or liquid medications can be injected into the jejunum with special syringes, bypassing the stomach and duodenum.

Jejunostomy is used when the patient needs artificial nutrition in cases where feeding by mouth or nasogastric tube is not possible. It can also be used for intestinal decompression in cases of intestinal obstruction. After eliminating the reasons that caused the need for jejunostomy, the hole in the intestine is sutured and its integrity is restored.

Jejunostoma is a surgical procedure in which the jejunum is brought out through the anterior abdominal wall. This may be necessary for a variety of medical conditions, such as when the jejunum is blocked or damaged, or when a constant supply of nutrients through a catheter is needed.

The operation includes several stages. The first step is to prepare the patient for surgery. An incision is then made in the abdominal wall, which allows the jejunum to be brought out. After this, the jejunum is opened and a catheter is inserted into its lumen.

After insertion of the catheter, the jejunum is closed and the edges of the incision on the abdominal wall are sutured. The operation usually takes about 2-3 hours and can be performed either as an inpatient or outpatient procedure.

The advantages of this operation include the ability to continuously supply nutrients to the patient's body and the ability to monitor his health. However, there are some risks associated with this surgery, such as the risk of infection and other complications. Therefore, before undergoing surgery, it is necessary to conduct a thorough examination of the patient and discuss all possible risks and benefits.

Jejunostomy (Latin jejunum “jejunum”; Greek - “scar” + Stoma; synonyms: jejunostomia, jejunal enterostomy (jejunostoma, synonym: enterotomy stoma)) – surgical operation: removal of a section of intestine to the anterior abdominal wall to provide external-internal access to the abdominal cavity. For the first time, surgical intervention of a similar technique was used in Russia in 1846 (S.P. Fedorov). The jejunum is the initial part of the small intestine between the jejunum and the ileum. This is the first section of the intestine that completely passes into the small intestine. The jejunum and ileum are the cecum. In a jejunostomy, the small intestine is brought out onto the abdomen. After this, the intestines cannot continue on their way and are digested very quickly in the intestines. The cut out area of ​​the intestine becomes closed and does not enter the general flow of nutrients in the body. With a jejunostomy, it is impossible to independently control the emptying process - it will only happen with the help of medical manipulations.