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Jejunostomy Kits

Supplier: Australasian Medical & Scientific Limited

These procedure kits are used to surgically place a catheter into the small bowel for long term enteral support.

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The catheter can be used for the critically ill, early post operative patients and patients with intestinal disease or injury. The catheters have a very secure skin disc. The adaptors fit all standard enteral male-ended sets.

Placement

Jejunostomies are normally created in the operating theatre using an open technique.

1. Firstly the catheter is placed into the jejunum using a submucosal tunnel. Where a needle tunnels along the jejunal wall and the tube is passed into the tunnel.

2. When the needle is removed the catheter is fixed to the jejunal wall by means of a suture. The jejunum is then sutured to the abdominal wall.

3. A second needle is used to tunnel along the abdominal wall to place the catheter looped in the opposite direction to exit at the skin site.

4. A skin plate then anchors the catheter externally.

A replacement catheter can be placed by using a J-type guide wire to replace the existing catheter then a new
catheter is threaded over the wire which is then removed.

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