Intraperitoneal Infusion as a Complication of Needle Catheter Feeding Jejunostomy

The needle catheter feeding jejunostomy is being increasingly utilized for postoperative nutritional support. We report a case of catheter dislodgement with intraperitoneal infusion of an elemental diet with subsequent peritonitis and death. A review of the literature reveals this complication to occur in 1.5% of patients, even when the serosa of the small bowel has been attached to the anterior abdominal wall. Recommendations are made regarding the prevention and management of such complications. (Journal of Parenteral and Enteral Nutrition9:758-759, 1985)