Optimizing nutritional support in upper gastrointestinal surgery: A comprehensive review of feeding jejunostomy techniques and outcomes

Figure 1 Feeding jejunostomy tube placement technique[39]. A: First layer of purse-string suture of the tube (polyglactin 910 3/0); B: Enterotomy performed by hook; C: Enterotomy extension with the aid of a Maryland dissector; D: T-tube insertion; E: Securing the knot of the first layer suture; F: Second layer of suture (polyglactin 910 3/0); G: Transfascial suturing with thread grasper; H: T-tube test for patency and leak. Citation: Siow SL, Mahendran HA, Wong CM, Milaksh NK, Nyunt M. Laparoscopic T-tube feeding jejunostomy as an adjunct to staging laparoscopy for upper gastrointestinal malignancies: The technique and review of outcomes. BMC Surg 2017; 17: 25. Copyright ©The Author(s) 2019. Published by BioMed Central Ltd (Supplementary material).