Feeding Tube (Gastrostomy or Jejunostomy)

DEFINITION

In some situations, patients suffer from certain conditions that prevent them from eating normally (ex. stomach tumors, oral cancer etc). Under these circumstances, a tube may be inserted into the stomach or small intestine to provide nutrition and alimentation. These procedures can be performed laparoscopically with minimal trauma and early recovery.

REASONS FOR PROCEDURE

• Provide nutritional support for patients who suffer from malnutrition

Symptoms

• Weight loss
• Weakness
• Inability to eat
• Loss of appétite

TREATMENT OPTIONS

Nonsurgical Option

Some individuals may receive nutrition by way of their veins or through tubes inserted via a nostril or via the mouth. Neither of these options is meant for long term use.

Surgical Option

Laparoscopic or the conventional open method are available

RISKS ASSOCIATED WITH SURGERY

• Bleeding
• Infection
• Leakage of intestinal content at the site of insertion
• Collection of pus within the abdomen
• Injury to stomach, intestines or adjacent organs.
• Intestinal obstruction
• Kinking or twisting of the feeding tube

(This is only a partial list of potential complications)

PRE-OPERATIVE PREPARATION

May include blood work, abdominal x-rays, and an abdominal CT scan.

AVERAGE HOSPITAL STAY

Varies amongst patients, but the average patient stays hospitalized for about 1 day.

TYPE OF ANESTHESIA REQUIRED

Laparoscopic surgery requires general anesthesia which blocks pain and keeps you asleep throughout the entire surgery. Open method may be performed under a milder form of anesthesia.

RECOVERY PERIOD

Once you have undergone laparoscopic surgery, your recovery period is usually shortened when compared to conventional open surgery. Most patients can usually go home within 1 to 2 days after the procedure although every case is different.