Abstract: Introduction: Feeding jejunostomy
is surgical operation to create an opening of jejunum through an abdominal
incision or endoscopically to establish enteral feeding. Feeding tube is a
medical device used to provide nutrition to people who cannot obtain nutrition
by mouth, or are unable to swallow safely or need nutritional supplementation.
After the introduction of this method in the past, over a period of time many
modifications of this method came into view. Here we are mainly concerned with
comparing only two methods stamm’s and witzel’s method out of so many different
methods available for feeding jejunostomy.
Aim: To compare
effectiveness and complications of stamm’s method v/s witzel’s method of
feeding jejunostomy.
Materials and Methods: It is a type of comparative interventional study design. Total 50
patient’s were included in study, out of with 25 underwent for stamm’s method
and 25 underwent for witzel’s method of feeding jejunostomy. Patient’s details
including personal data, anthropometric data, disease history, various
laboratory and radiological investigations, method used for creating feeding
jejunostomy and its outcome including various complications occurred during a
regular follow up of a patient for 3 months were entered into Microsoft excel
sheet and was analysed using SPSS 22 version software. Study was done to
Compare and contrast the two methods and final outcome including the
complication frequency between the two methods of the feeding jejunostomy.
Results: Both stamm’s and
witzel’s method are equally effective in improving nutritional status of the patient,
however complication frequency for both sets were found to be different.
Statistically significant association of tube dislodgement was found in respect
to the type of method performed which is more common in stamm’s as compared to
witzel’s method. Rest complications rates between two groups are comparable.
Conclusions: Both the methods have
similar efficacy in term’s of it’s usefulness. Most of the complications were
found to be related to technical errors except few such as tube dislodgement
which is more common in stamm’s method. So the technique to which the surgeon
is more acquainted with should be used.
