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World J Gastrointest Surg. May 27, 2026; 18(5): 116545
Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.116545
Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.116545
Self-made double-lumen jejunal tube for bile reinfusion and enteral nutrition after percutaneous transhepatic cholangial drainage
Yan Wang, Wen-Shuang Zhang, Zhi-Li Cao, Department of Infectious Diseases, The Second Affiliated Hospital of Hebei North University, Zhangjiakou 075100, Hebei Province, China
Jiang-Wei Xi, Bin Liu, Department of General Surgery, The Second Affiliated Hospital of Hebei North University, Zhangjiakou 075100, Hebei Province, China
Ya-Nan Zhao, Department of Obstetrics and Gynecology, The Second Affiliated Hospital of Hebei North University, Zhangjiakou 075100, Hebei Province, China
Yong Chen, Department of Infectious Diseases, The First Affiliated Hospital of Hebei North University, Zhangjiakou 075061, Hebei Province, China
Co-first authors: Yan Wang and Jiang-Wei Xi.
Author contributions: Wang Y and Xi JW were responsible for the study conception and design, data acquisition, and initial manuscript drafting, contributed equally as co-first authors; Zhang WS and Cao ZL participated in patient enrollment, clinical data collection, and follow-up management; Xi JW and Liu B were involved in the implementation of the intervention procedures and contributed to clinical data interpretation; Zhao YN assisted in data organization, statistical analysis, and result verification; Chen Y supervised the entire study and provided critical revision of the manuscript for important intellectual content. All authors read and approved the final manuscript and agree to be accountable for all aspects of the work.
Supported by Zhangjiakou Science and Technology Research and Development Program, No. 2121093D.
Institutional review board statement: This study was reviewed and approved by the Medical Ethics Committee of the Second Affiliated Hospital of Hebei North University, in accordance with the ethical standards of the Declaration of Helsinki.
Informed consent statement: The requirement for written informed consent was waived by the Medical Ethics Committee of the Second Affiliated Hospital of Hebei North University due to the retrospective nature of the study. All patient data were anonymized prior to analysis.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement:
The datasets generated and/or analyzed during the current study are available from the corresponding author upon reasonable request.
Corresponding author: Yong Chen, Department of Infectious Diseases, The First Affiliated Ho
Received: December 2, 2025
Revised: January 4, 2026
Accepted: February 28, 2026
Published online: May 27, 2026
Processing time: 176 Days and 4 Hours
Revised: January 4, 2026
Accepted: February 28, 2026
Published online: May 27, 2026
Processing time: 176 Days and 4 Hours
Core Tip
Core Tip: After percutaneous transhepatic cholangial drainage, bile is usually lost externally, which may compromise nutrition and gastrointestinal recovery. This study evaluated a self-made double-lumen jejunal nutrition tube that permits bile reinfusion while delivering enteral nutrition. Compared with conventional single-lumen feeding, this approach improved serum nutritional markers, hastened bowel function recovery, lowered complication rates, shortened hospital stay and increased patient satisfaction. The results support double-lumen jejunal tube–based bile reinfusion as a feasible and effective strategy for postoperative care in percutaneous transhepatic cholangial drainage patients.