A modified feeding Roux-en-Y jejunostomy in the neurologically damaged child

Brian F. Gilchrist, Francois I. Luks, Frank G. DeLuca, Conrad W. Wesselhoeft

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Purpose: Feeding tube access with an antireflux procedure is frequently necessary in children with severe neurological deficits. Fundoplication in this particular group of patients has many complications and a reported failure rate of 40% to 50%. Recently, the use of a feeding Roux-en-Y jejunostomy has been advocated in this population. Methods: Since December 1993, over a 6-month period, the authors performed 12 Roux-en-Y jejunostomies. All children had documented gastroesophageal reflux. One patient had a prior failed Nissen fundoplication, and none of these patients were feeding significantly by mouth. Postoperative follow-up has been 12 months. Results: There were no deaths in this series. One patient required early revision of the stoma because of marked prolapse. One 11-month-old infant required reoperation 7 days postoperatively because of tube dislodgment. Eight of the 12 patients required out-patient procedures to unplug or replace the jejunostomy tube. Conclusion: The operation may be beneficial in a subset of neurologically impaired children who will never be able to ingest significant calories by mouth. It may also be useful after a failed fundoplication. The main postoperative complications were plugging and dislodgment of the jejunostomy tube, which if they occurred early, required x-ray confirmation for catheter placement.

Original languageEnglish
Pages (from-to)588-589
Number of pages2
JournalJournal of Pediatric Surgery
Issue number4
StatePublished - Apr 1997
Externally publishedYes


  • Maydl operation
  • Neurological impairment
  • gastroesophageal reflux


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