We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Needle-Catheter Jejunostomy for Fluid Access in the Obese Patient

Arch Surg. 1981;116(8):1100. doi:10.1001/archsurg.1981.01380200096027.
Text Size: A A A
Published online


To the Editor.–The technique of needle-catheter jejunostomy is receiving increasing acceptance as a means of delivery for total enteral nutrition (TEN) in the postoperative patient.1,2 Another use is as a means of access for administration of fluids.

It is difficult to find appropriate sites for venous infusion in obese patients who undergo surgery. We have used needle-catheter jejunostomy to provide access in them.

Between July 1979 and December 1980, 70 patients had a needle-catheter jejunostomy placed solely for fluid access. The technique used has been previously discussed.1,2 Sixty of these procedures were in patients operated on for obesity (gastric stapling), and ten were placed for other access difficulties (such as drug abuse). In the patients undergoing operations for obesity, for virtually the entire postoperative course fluids were infused solely through the needle-catheter jejunostomy. A peripheral venous catheter was placed with the patient under anesthesia, but was used


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.