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John L. Cameron, Advances in Surgery, Elsevier Health Sciences, 2012, p.26 [E-Book] Available: https://books.google.bg/books?id=- W2PBQAAQBAJ&pg=PA26&lpg=PA26&dq=diverting+jejunost omy&source=bl&ots=4s_qG1aELt&sig=ACfU3U2Y4phqJkex9lo IcnxDecQvM0kEig&hl=bg&sa=X&ved=2ahUKEwiRz8_Zp7roA hXiVxUIHRJWCBY4ChDoATAEegQIChAB#v=onepage&q=div erting%20jejunostomy&f=false.

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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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