Laparoscopic and open feeding jejunostomy in upper gastrointestinal pathology: a single-centre cohort study - Summary - MDSpire

Laparoscopic and open feeding jejunostomy in upper gastrointestinal pathology: a single-centre cohort study

  • By

  • Ata Ghaith

  • Babur Ahmed

  • Mohamed Alasmar

  • Naheed Farooq

  • Bilal Alkhaffaf

  • March 30, 2026

  • 0 min

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Objective:

To evaluate the safety and postoperative complication profiles of laparoscopic feeding jejunostomy (LFJ) compared to open feeding jejunostomy (OFJ) using a standardized technique, including efficacy outcomes.

Key Findings:
  • Laparoscopic feeding jejunostomy is associated with reduced postoperative morbidity compared to open feeding jejunostomy, highlighting its potential as a preferred method.
  • Standardized techniques in laparoscopic procedures may lead to more consistent outcomes, suggesting a need for training and adherence to protocols.
  • Complications were graded according to the Clavien–Dindo classification, allowing for systematic assessment and comparison across studies.
Interpretation:

LFJ may offer advantages over OFJ in terms of safety and recovery; however, the technical demands and variability in surgical technique require careful consideration and training for optimal outcomes.

Limitations:
  • Retrospective design may introduce bias, including selection bias.
  • Variability in patient populations and surgical contexts limits generalizability.
  • Small sample sizes in existing literature hinder robust comparisons.
Conclusion:

Laparoscopic feeding jejunostomy could be a safer alternative to open feeding jejunostomy, warranting further investigation in larger, multicenter studies to validate these findings.

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