HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Immediate jejunostomy feeding. Its use after major abdominal trauma.

Abstract
Jejunostomy feedings were used in the immediate postoperative period in patients with massive abdominal and retroperitoneal injuries. Patients were selected for early feeding if they had two or more major visceral injuries. Over a six-month period, 30 such patients were studied: ten had blunt trauma, 11 had gunshot wounds, and nine had stab injuries. The injuries included 11 pancreatic, ten small-bowel, six colon, and six major retroperitoneal vascular injuries. A 16-gauge intracatheter was placed in the proximal jejunum. The constant infusion of nutritional solution (Vivonex HN) was begun 18 hours postoperatively, and within 72 hours all patients were receiving 2,400 calories per day. Feedings were maintained for an average of eight days. Serum albumin and transferrin levels, total lymphocyte count, and delayed hypersensitivity were maintained or improved during jejunal feeding. Patients with pancreatic injuries received supplemental nutrition without evidence of pancreatic stimulation. Needle-catheter jejunostomy can provide early, safe nutritional support after major abdominal trauma. Further investigation is needed to determine who will benefit from this early feeding.
AuthorsE E Moore, E L Dunn, T N Jones
JournalArchives of surgery (Chicago, Ill. : 1960) (Arch Surg) Vol. 116 Issue 5 Pg. 681-4 (May 1981) ISSN: 0004-0010 [Print] United States
PMID6786261 (Publication Type: Journal Article)
Chemical References
  • Serum Albumin
  • Transferrin
Topics
  • Abdominal Injuries (therapy)
  • Adolescent
  • Adult
  • Catheterization (methods)
  • Enteral Nutrition (methods)
  • Humans
  • Jejunum (surgery)
  • Leukocyte Count
  • Lymphocytes
  • Male
  • Middle Aged
  • Serum Albumin (metabolism)
  • Transferrin (blood)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: