Journal of Surgical Innovation and Education

How I Do It

Tips for Laparoscopic Feeding Jejunostomy Using a Barbed Suture: Sin Hye Park, Dong Jin Kim; J Surg Innov Educ. 2024;1(2):31-33. Published online December 9, 2024; DOI: https://doi.org/10.69474/jsie.2024.00108

Abstract PDF: Feeding jejunostomy is crucial for patients with compromised oral intake, particularly after gastrointestinal surgery or esophagectomy. Traditional methods involve interrupted sutures to secure the feeding tube to the abdominal wall, but this can be cumbersome due to the need for knot tying. This paper presents the case of a 75-year-old male patient who underwent minimally invasive esophagectomy with feeding jejunostomy for esophageal cancer, and introduces the use of a knotless barbed suture, which is commonly employed in gastrointestinal operations. The laparoscopic procedure utilized four trocars for jejunostomy, employing a 3-0 silk purse string suture and a 14-Fr Foley catheter. The barbed suture was used to secure the catheter in place without knots, covering 360° around the catheter. This method aims to simplify laparoscopic feeding jejunostomy and improve clinical practice.

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