OBJECTIVES: To report 3 cases of small-bowel necrosis after jejunal tube feeding and to review the literature concerning this condition. DESIGN: A 5-year retrospective review. SETTING: A 560-bed university-affiliated tertiary-care teaching hospital. PATIENTS: Three patients who had bowel necrosis out of 386 who received jejunal tube feedings. RESULTS: The patients experienced small-bowel necrosis as a consequence of jejunal feeding. The ischemic necrosis was preceded by progressive abdominal pain, distension and high nasogastric output. All 3 patients required extensive small-bowel resection. Although survival was rare in previous reports, our 3 patients survived after prompt surgical intervention and small-bowel resection. CONCLUSIONS: Although the death rate for this condition approaches 70%, timely recognition and surgical intervention can save the patient's life.
OBJECTIVES: To report 3 cases of small-bowel necrosis after jejunal tube feeding and to review the literature concerning this condition. DESIGN: A 5-year retrospective review. SETTING: A 560-bed university-affiliated tertiary-care teaching hospital. PATIENTS: Three patients who had bowel necrosis out of 386 who received jejunal tube feedings. RESULTS: The patients experienced small-bowel necrosis as a consequence of jejunal feeding. The ischemic necrosis was preceded by progressive abdominal pain, distension and high nasogastric output. All 3 patients required extensive small-bowel resection. Although survival was rare in previous reports, our 3 patients survived after prompt surgical intervention and small-bowel resection. CONCLUSIONS: Although the death rate for this condition approaches 70%, timely recognition and surgical intervention can save the patient's life.
Authors: S A Sethuraman; V K Dhar; D A Habib; J E Sussman; S A Ahmad; S A Shah; B J Tsuei; J J Sussman; Daniel E Abbott Journal: J Gastrointest Surg Date: 2017-09-27 Impact factor: 3.452
Authors: Omer S Al-Taan; Robert N Williams; James A Stephenson; Melanie Baker; S Murthy Nyasavajjala; David J Bowrey Journal: J Gastrointest Surg Date: 2017-06-23 Impact factor: 3.452
Authors: Martin W Dünser; Emir Festic; Arjen Dondorp; Niranjan Kissoon; Tsenddorj Ganbat; Arthur Kwizera; Rashan Haniffa; Tim Baker; Marcus J Schultz Journal: Intensive Care Med Date: 2012-02-14 Impact factor: 17.440
Authors: Grazia Leonello; Antonio Giacomo Rizzo; Viviane Di Dio; Antonio Soriano; Claudia Previti; Grazia Giulia Pantè; Claudio Mastrojeni; Sebastiano Pantè Journal: Int Med Case Rep J Date: 2018-04-09