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| Interpretation of Guidelines for nutritional treatment pathways for adult patients in China surgical jejunostomy |
| 1,2 Li Dihuan,3 Liu Ming,1,2 Jiang Hua |
| 1Institute for Emergency and Disaster Medicine Sichuan Academy of Medical Science University of Electronic Science and Technology of
China Sichuan Provincial People′s Hospital Chengdu 610072 Sichuan China
2Sichuan Clinical Research Center for Emergency and
Critical Care Medicine Chengdu 610072 Sichuan China
3Department of General Surgery the Second Affiliated Hospital of Harbin
Medical University Harbin 150001 Heilongjiang China |
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Abstract Early enteral nutrition is very important for surgical patients especially patients with upper gastrointestinal surgery.
Early surgical jejunostomy is a form of enteral nutrition. Patients with digestive tract surgery can receive intraoperative catheterization
and enteral nutrition can be given early after operation. There are tunnel jejunostomy Witzel jejunostomy Roux-en-Y jejunostomy
needle catheter jejunostomy open stomach perform jejunostomy and laparoscopic surgical jejunostomy techniques. For patients undergoing esophagectomy parenteral nutrition has many complications and is not conducive to the recovery of digestive function after operation and it is recommended to establish an enteral nutrition therapy route for intraoperative jejunostomy to give nutrition therapy. Likewise abdominal surgery patients may also receive a jejunostomy tube during the procedure. For patients with pancreaticoduodenectomy a nasoenteric tube is more suitable than a surgical jejunostomy. For patients with severe malnutrition before surgery or who need
radiotherapy and chemotherapy after surgery home enteral nutrition can be performed through jejunostomy to improve the quality of life
of patients. This review mainly introduces the latest progress from the aspects of surgical jejunostomy technology and indications.
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Received: 14 March 2022
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