Managing feeding jejunostomy leakageFpouching system connected to suction which provides negative pressure

PROBLEM STATEMENT: Feeding jejunostomy is indicated for patients who need long-term eternal nutrition and have chronic aspiration, gastric outlet obstruction, or stomach or duodenal disease, or for patients with prior gastrectomy. Clinically it was frequent that increased abdominal pressure ( ex:ascities, interstinal obstruction, cough) make the intestinal juice overflowed and cause skin maceration. Patients had painful sensation around the feeding jejunostomy and limited the movements. Life quality was affected. PAST MANAGEMENT: Clinical practice is used gauze dressings required very frequent changes or the system to straight drainage did not maintain an effective seal. The skin breakdown occurred rapidly and the consumption cost but has not achieved the effect CLINICAL APPROACH: I apply one piece cuts the scope >0.3cm compared to the ostomy to cut radiated and into which a 18Fr.catheter could be inserted and connected to suction proved to be effective and changed pouch approximately every 3-5 days. OUTCOMES: More than 3 cases studies describe that this approach made benefit for the wound healing, skin protection, pain alleviation, life quality improvement and reduce unnecessary medical costs. CONCLUSIONS: It was effective to use the pouching system with negative pressure for the feeding jejunostomy leakage.