Feeding disorder is a condition in which some obstruction (e.g. tumor) prevents normal eating.
Symptoms of feeding Disorders
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Inability to eat
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Persistent nausea and vomiting
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Diarrhea
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Weakness
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Weight loss
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Polycystic disease of the kidneys
Laparoscopic surgery for Feeding Disorders
A laparoscopic gastrostomy or Jejunostomy is a feeding tube that allows direct feeding into the intestine to improve the nutritional state of the patient.
Laparoscopic Feeding Gastrostomy or Jejunostomy:
The procedure is performed under general anaesthesia with surgeon making 2-3 tiny incisions in the abdomen. One of the incisions is used to insert a port (nozzle) that fills the carbon dioxide gas into the abdomen to inflate it. Now laparoscope is inserted through another incision. A laparoscope is a telescope lookalike with a light and camera on the end. It allows the surgeon to clearly view inside of the abdomen on the monitor outside. Now using surgical instruments, feeding tube is placed into the stomach (gastrostomy) or small bowel (Jejunostomy). The tube will exit out of the patient’s skin, and is temporarily sutured to half-inch white bolsters on patient’s skin. These stitches will be removed several weeks after surgery. After the placement of the tube, the carbon dioxide is released out of the abdomen and incisions are closed with sutures or staples, or covered with glue-like bandage.
Advantages of Laparoscopic Feeding Gastrostomy or Jejunostomy
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Less pain
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Shorter operative time
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Better cosmetic result
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Shorter hospital stay
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Lower requirement for intravenous narcotics
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Faster recovery
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Negligible risks and complications
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Less chances of wound infection
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High success rate