February 1981

Feeding Jejunostomy in Patients With Neurologic Disorders

Author Affiliations

From the Department of Surgery, University of Connecticut-St Francis Hospital and Medical Center, Hartford, Conn.

Arch Surg. 1981;116(2):169-171. doi:10.1001/archsurg.1981.01380140023005

• A retrospective study of 54 patients who underwent feeding jejunostomy because of dysphagia on a neurologic basis was performed to determine risk factors affecting a postoperative mortality of 33% and six-month mortality of 67%. Advanced patient age, depressed preoperative level of consciousness, general anesthesia, and the technique of Witzel's jejunostomy were associated with increased postoperative mortality. Advanced patient age and depressed preoperative level of consciousness carried an especially poor six-month prognosis. It is concluded that a Roux-en-Y jejunostomy should be considered in patients with a hopelessly irreversible neurologic deficit. In all other situations, Stamm's jejunostomy is the feeding procedure of choice.

(Arch Surg 116:169-171, 1981)