LAPAROSCOPIC-GUIDED FEEDING JEJUNOSTOMY

Access for long-term enteral nutrition has long been the job of the su rgeon. While percutaneous endoscopic gastrostomy has revolutionized th e way we provide gastric feedings, jejunal access usually requires lap arotomy. We have developed a technique for placing a laparoscopic guid ed jejunostomy. Twenty-three patients have undergone this procedure wi thout complication. We believe this technique will be a valuable addit ion to the surgeon's options for obtaining enteral access.