Maija Cheung, MD, Salim Munoz, MD, Matthew Hubbard. Yale New Haven Hospital
A 60 year-old male with a history of erosive esophagitis s/p a distal esophagectomy and gastrectomy with colonic interposition graft was admitted to the Neurology service with progressive weakness of his upper extremities and was diagnosed with a variant of Guillan Barre Syndrome. He eventually underwent laparoscopic jejunal feeding tube placement, detailed in this video.
The indications of j-tube placement are reviewed including the necessity to establish enteral access for feeding and bowel decompression for patients with neurological disorders, impaired swallowing, certain cancers, and selective recent surgeries.
The video details the steps for performing the procedure including optimal port placement, endoscopic evaluation, lysis of adhesions, jejunal site selection, and laparoscopic insertion of the feeding tube.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 78756
Program Number: P621
Presentation Session: Poster (Non CME)
Presentation Type: Poster