Modification of the needle-catheter jejunostomy. 1982

R Feldtman, and J Archie

A new technique is described wherein a J-tipped Teflon-coated stainless steel guide wire is used to facilitate the insertion of a needle-catheter jejunostomy tube. The advantages of this technique are that the guide wire is threaded down the bowel much easier than the catheter itself and also that by using the guide wire in threading the catheter over it, the hub need not be amputated, thus reducing the need for additional material to affix or glue a hub onto the catheter after completion of the procedure. Once the technique is mastered, a needle-catheter jejunostomy can be inserted in this fashion in approximately 2 to 3 minutes, thus adding minimal morbidity in terms of operating time. Nutritional support can be started much earlier without the hazard of central venous catheter infection.

UI MeSH Term Description Entries
D007583 Jejunum The middle portion of the SMALL INTESTINE, between DUODENUM and ILEUM. It represents about 2/5 of the remaining portion of the small intestine below duodenum. Jejunums
D009339 Needles Sharp instruments used for puncturing or suturing. Hypodermic Needles,Hypodermic Needle,Needle,Needle, Hypodermic,Needles, Hypodermic
D002404 Catheterization Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions. Cannulation,Cannulations,Catheterizations
D004750 Enteral Nutrition Nutritional support given via the alimentary canal or any route connected to the gastrointestinal system (i.e., the enteral route). This includes oral feeding, sip feeding, and tube feeding using nasogastric, gastrostomy, and jejunostomy tubes. Enteral Feeding,Force Feeding,Nutrition, Enteral,Tube Feeding,Gastric Feeding Tubes,Feeding Tube, Gastric,Feeding Tubes, Gastric,Feeding, Enteral,Feeding, Force,Feeding, Tube,Feedings, Force,Force Feedings,Gastric Feeding Tube,Tube, Gastric Feeding,Tubes, Gastric Feeding
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

R Feldtman, and J Archie
May 1981, Archives of surgery (Chicago, Ill. : 1960),
R Feldtman, and J Archie
September 1983, The American journal of nursing,
R Feldtman, and J Archie
April 2000, The British journal of surgery,
R Feldtman, and J Archie
June 1989, Zeitschrift fur Gastroenterologie,
R Feldtman, and J Archie
January 1998, Zentralblatt fur Chirurgie,
R Feldtman, and J Archie
April 1983, Military medicine,
R Feldtman, and J Archie
May 1973, Surgery,
R Feldtman, and J Archie
June 1988, Mayo Clinic proceedings,
R Feldtman, and J Archie
October 1982, Journal of pediatric surgery,
Copied contents to your clipboard!