Table 2. Jejunostomy access and feeding complications.
Minor Jejunostomy complications | In-hospital (n=45) | Out of hospital (n=41) |
---|---|---|
Clavien-Dindo grade 3 or 420,21 | 2/45 (4%) | 0/26 (0%) a |
Feed related small bowel necrosis requiring laparotomy (non-fatal) |
||
Clavien-Dindo grade 1 or 220,21 | ||
Diarrhoea (%) | 4/45 (9%) | 7/26 (27%) a |
Reflux of feed / vomiting (%) | 0/45 (0%) | 2/26 (8%) a |
Tube displacement or migration (%) | 1/45 (2%) | 1/41 (2%) |
Inadvertent tube removal (%) | 2/45 (4%) | 8/41 (20%) |
Leakage around insertion site (%) | 6/45 (13%) | 8/41 (20%) |
Tube occlusion (%) | 7/45 (16%) | 4/41 (10%) |
Functional jejunostomy at end of study interval | 41/45 (91%) | 32/45 (71%) |
This includes the 18 participants allocated to the intervention arm who received home jejunostomy feeding as planned and the 6 participants allocated to the usual care arm who required rescue feeding. The remaining patients had the jejunostomy tube left in situ but not utilised. Unless there was a need for ongoing enteral feeding, jejunostomy tubes were removed six weeks after discharge from hospital.