Interlocking box jejunostomy: a new technique for enteral feeding

A new jejunostomy tube placement technique is described and compared to traditional methods. The interlocking box technique was compared to a simple purse-string with jejunopexy and an inverting serosal tunnel (Witzel technique) with jejunopexy. Procedures performed in fresh canine cadavers were flu...

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Bibliographic Details
Published inThe Journal of the American Animal Hospital Association Vol. 35; no. 2; pp. 129 - 134
Main Authors Daye, R.M, Huber, M.L, Henderson, R.A
Format Journal Article
LanguageEnglish
Published United States 01.03.1999
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Summary:A new jejunostomy tube placement technique is described and compared to traditional methods. The interlocking box technique was compared to a simple purse-string with jejunopexy and an inverting serosal tunnel (Witzel technique) with jejunopexy. Procedures performed in fresh canine cadavers were fluid pressure tested following tube removal. Mean+/-standard deviation (SD) intraluminal pressure necessary to induce leakage at the jejunopexy site of the interlocking box group (87.63+/-40.56 cm H2O) was significantly greater (p less than 0.001) than the simple purse-string (43.17+/-31.69 cm H2O) and serosal tunnel (46.33+/-23.60 cm H2O) groups. Significant differences were not identified between the latter groups. The interlocking box technique resisted leakage following acute removal better than conventional techniques and should be tested clinically.
ISSN:0587-2871
1547-3317
DOI:10.5326/15473317-35-2-129