Rejejunostomy under local anesthesia for patients with esophageal carcinoma.

A jejunostomy is performed simultaneously with an esophagectomy for nutritional support. For various reasons, there is the potential for a second-time jejunostomy. We report a new and simple percutaneous technique for jejunostomy replacement under local anesthesia. A new tube is placed into the jejunum andiatrogenically fixed to the previous jejunostomy incision. All five patients in our study accepted the second-time jejunostomy successfully. The mean operating time was 15.8±4.0 min, with limited blood loss. This approach for second-time jejunostomy under local anesthesia in previous surgical jejunostomy patients is technically feasible, with a high technical success rate.