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Dr Kundan, M., Dr Kumari, A., Dr Ashish., Dr Singh, T., Dr Kumar, G., et al. “Early Closure of High Output Stoma (Jejunostomy),” Sch. J. App. Med. Sci., 4(3F): 1032-1034, March 2016.

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Article

Re-infusion of High Output Effluent from a Loop Jejunostomy into Its Distal Limb through a Subcutaneously Implanted Catheter: A Case Report

1Surgical Department, St Petka Multiprofile Hospital for Active Treatment, 3700 Vidin, Bulgaria


American Journal of Medical Case Reports. 2021, Vol. 9 No. 1, 88-91
DOI: 10.12691/ajmcr-9-1-22
Copyright © 2020 Science and Education Publishing

Cite this paper:
Ognyan Georgiev Milev. Re-infusion of High Output Effluent from a Loop Jejunostomy into Its Distal Limb through a Subcutaneously Implanted Catheter: A Case Report. American Journal of Medical Case Reports. 2021; 9(1):88-91. doi: 10.12691/ajmcr-9-1-22.

Correspondence to: Ognyan  Georgiev Milev, Surgical Department, St Petka Multiprofile Hospital for Active Treatment, 3700 Vidin, Bulgaria. Email: milev.o@abv.bg

Abstract

Diverting jejunostomy is almost always a last ditch effort in a situation of abdominal catastrophe. Although it is life-saving, it may adversely affect the patient’s metabolic status and renal function. Consequentially an emergency jejunostomy should be a temporary measure and should be closed as early as possible. We present a unique case where the creation of а temporary loop jejunostomy was indicated. To prevent acute renal failure, we re-infused the stoma effluent into its distal limb through a Foley catheter. The latter was implanted subcutaneously which allowed us to re-feed the stoma without disturbing the appliance seal. The patient recovered on oral intake without the use of total parenteral nutrition.

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