We managed a traumatic D2 injury patient with incredible difficulty. We finally managed with T-tube and NGJ tube placement during laparotomy. Recently NGJ tube dislodged. Is there any way to place it without introducing a scope that imposes a high risk of a leak from the D2 area?
How many postoperative days does the patient have? I would not try to place another tube, and if I did, it would simply be a nasogastric tube for decompression and observation. in case of leakage perform a pyloric exclusion.
One month from presentation. 12 laparoscopic surgeries in between.
Dislodged a day after we finally approximated midline wound.
Double lumen NGJ was ideal long term solution for feeding distal to affected site and aspiration of gastric juices.
I agree with Haris ali, at this stage the better option is percutaneous jejunostomy
Hello
l would not try to put another one given long term post op and risk of new injury. And you can start oral feeding as well.
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