International Surgery Journal | March 2021 | Vol 8 | Issue 3 Page 930 International Surgery Journal Chejara R et al. Int Surg J. 2021 Mar;8(3):930-934 http://www.ijsurgery.com pISSN 2349-3305 | eISSN 2349-2902 Original Research Article Evaluating outcomes in patients of jejunal stoma Rajkumar Chejara, Rohit Chaudhary*, Ashok Sharma, Dheer Singh Kalwaniya, Ankur Garg, Monish Raj M., Vignesh M. INTRODUCTION A stoma is an opening, either naturally or surgically created which connects a portion of the body cavity to the outside environment. Stomas formed from the bowel are named in relation to their location within the gastrointestinal tract. A stoma from proximal small bowel (less than 200 cm remaining of small bowel is referred as jejunostomy, one formed from the distal small bowel an ileostomy. 1 Ileostomy is usually preferred because it is well tolerated as it results in minimal or negligible nutritional and metabolic disturbances. However in managing patients with intra-abdominal emergency such as perforation of bowel due to trauma, intestinal tuberculosis or in patients with mechanical obstruction with strangulation, we are sometimes left with no other option but to construct a jejunostomy as the patients general condition is very critical or there is intra- abdominal sepsis with high chances of anastomotic leak and eventual mortality. Jejunostomy carries a high morbidity and mortality as the stoma output is very high because jejunal mucosa is highly permeable resulting in ABSTRACT Background: In managing patients with intraabdominal emergency such as perforation of bowel due to trauma, intestinal tuberculosis or in patients with mechanical obstruction with strangulation, we are sometimes left with no other option but to constitute a jejunostomy as the patients general condition is very critical or there is intra- abdominal sepsis with high chances of anastomotic leak and eventual mortality. In this article we have evaluated outcomes of jejunal stoma in terms of morbidity and mortality. Methods: Study conducted in the Department of Surgery, VMMC and Safdarjung Hospital, New Delhi. 25 patients were evaluated in study for a period of 18 months between October 2018 and April 2020. Patient demographics, preoperative diagnosis, treatment strategies, surgical procedures, and the post-operative course were evaluated. Results: It was observed that the most common pathologies for formation of jejunostomy were trauma and tuberculosis. patients were readmitted, most commonly due to cause being dehydration and dyselectrolytaemia.80% patient had clavien dindo grade 1 pre-operative complications. Mean time for stoma closure was 5.4 weeks. Most common complication after closure of stoma was Surgical site infection i.e.,9 patients (36%). Overall mortality was 2 (8%). Conclusions: It is concluded from our study that if jejunostomy has to be made due to unavoidable circumstances then the patient requires regular clinical assessment of nutritional parameters and aggressive corrections of any abnormalities and an early closure of stoma. This shows that knowledge of clinical course of patient with jejunostomy can help us to better manage these patients. Keywords: Complications, Jejunal stoma, Outcomes Department of General Surgery, Safdarjung Hospital, New Delhi, India Received: 25 December 2020 Revised: 07 February 2021 Accepted: 09 February 2021 *Correspondence: Dr. Rohit Chaudhary, E-mail: chaudharyrohit467@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: https://dx.doi.org/10.18203/2349-2902.isj20210929