Iatrogenic jejunal perforation while FJ tube re-insertion: a rare complication of feeding jejunostomy tube reinsertion

Authors

  • Bappaditya Har Department of General Surgery, IPGMER & SSKM Hospital, Kolkata-20, West Bengal, India
  • Rounak Shinde Department of General Surgery, IPGMER & SSKM Hospital, Kolkata-20, West Bengal, India
  • Debraj Saha Department of General Surgery, IPGMER & SSKM Hospital, Kolkata-20, West Bengal, India
  • Bitan Kumar Chattopadhyay Department of General Surgery, IPGMER & SSKM Hospital, Kolkata-20, West Bengal, India

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20150211

Abstract

Feeding jejunostomy a good way to deliver enteral nutrition in a number of conditions with a very low complication rate and very cost-effective way to deliver nutrition in our part of country where PEG is not widely available. FJ is commonly done with Foley’s catheter, Ryle’s tube, T-tube. In some situations (clogging/expulsion), we have to change the tube through the mature tract. But, it is upmost important that proper lubrication of the tube & gentle attempt should be made and excessive thrust must not be made. Any difficulty while introduction should be thoroughly evaluated. Here we present a rare complication of FJ tube reinsertion leading to jejunal perforation. 

Keywords: FJ complication, Jejunal perforation, Iatrogenic perforation

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References

Tapia J, Murguia R, Garcia G, de los Monteros PE, Oñate E. Jejunostomy: techniques, indications, and complications. World J Surg. 1999;23:596-602.

Cataldi-Betcher EL, Seltzer MH, Slocum BA, Jones KW. Complications occurring during enteral nutrition support: a prospective study. JPEN J Parenter Enteral Nutr. 1983;7:546-52.

Cogen R, Weinryb J, Pomerantz C, Fenstemacher P. Complications of jejunostomy tube feeding in nursing facility patients. Am J Gastroenterol. 1991;86:1610-3.

Whiteley GS, Baildam AD, Walter DP, Taylor TV. Complications of percutaneous endoscopic enterostomy tubes. Surg Laparosc Endosc. 1992;2:227-9.

Shike M, Latkany L, Gerdes H, Bloch AS. Direct percutaneous endoscopic jejunostomies for enteral feeding. Gastrointest Endosc. 1996;44:536-40.

Eddy VA, Snell JE, Morris JA. Analysis of complications and long term outcome of trauma patients with needle catheter jejunostomy. Am Surg. 1996;62:40-4.

Prahlow JA, Barnard JJ. Jejunostomy tube failure: malnutrition caused by intraluminal antegrade jejunostomy tube migration. Arch Phys Med Rehabil. 1998;79:453-5.

De Gottardi A, Krahenbuhl L, Farhadi J, Gernhardt S, Schäfer M, Büchler MW. Clinical experience of feeding through a needle catheter jejunostomy after major abdominal operations. Eur J Surg. 1999;165:1055-60.

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Published

2026-10-12

How to Cite

Har, B., Shinde, R., Saha, D., & Chattopadhyay, B. K. (2026). Iatrogenic jejunal perforation while FJ tube re-insertion: a rare complication of feeding jejunostomy tube reinsertion. International Journal of Scientific Reports, 1(1), 92–93. https://doi.org/10.18203/issn.2454-2156.IntJSciRep20150211

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Case Reports