A simplified technique for laparoscopic feeding jejunostomy and its outcomes.

Abstract

Abstract: Feeding jejunostomy (FJ) is essential for patients with absolute dysphagia, providing a critical means of nutrition. Despite various techniques being described in the literature, there is no standardized, cost-effective approach for laparoscopic FJ. This study aims to describe a modified, simplified laparoscopic FJ technique and assess its safety, feasibility, and cost-effectiveness. A case series of 30 patients who underwent laparoscopic FJ between June and December 2022 was evaluated. The mean age of the patients was 29 ± 1.2 years, with an average operating time of 46.5 ± 9 minutes. Intraoperative blood loss was minimal, and there were no major complications during the hospital stay. Only one minor complication, catheter displacement, occurred during the 1-month follow-up. The average hospital stay was 2 ± 0.66 days. The cost of the procedure was compared to existing commercial kits in India, demonstrating significant savings. The findings suggest that the modified laparoscopic FJ technique is a safe, feasible, and cost-effective alternative, offering a simplified approach with minimal complications and a short hospital stay. Further studies with larger sample sizes and longer follow-up are needed to validate these results.