Nutrición enteral por yeyunostomía como causa de perforación y necrosis intestinal

espanolIntroduccion: la yeyunostomia de alimentacion es una excelente manera de nutrir por via enteral a pacientes que no pueden tolerar dieta oral con una tasa de complicaciones baja. Se utiliza comunmente una sonda de Foley, tubo de Ryle, de Kerh o cateter con aguja (Jejuno-Cath®). Caso clinico: presentamos el caso de un paciente varon de 80 anos que presento una perforacion intestinal como consecuencia de la nutricion a traves de un yeyunocath en el postoperatorio de una gastrectomia subtotal con reconstruccion en Y de Roux, y de otro paciente varon de 53 anos con perforacion gastrica y multiples complicaciones postoperatorias, entre ellas, necrosis de un segmento de intestino delgado por impactacion de nutricion enteral. Discusion: revisamos la literatura existente sobre esta rara complicacion EnglishBackground: Jejunostomy for enteral feeding is excellent for patients who cannot manage oral intake, with a low complication rate. A Foley catheter, Ryle tube, Kerh tube or needle-catheter (Jejuno-Cath®) are commonly used. It is a safe procedure but it can lead to severe complications. Case report: We present two cases: firstly, an 80 year old male who was admitted to the Emergency Room with a bowel perforation secondary to Jejuno-Cath® for enteral feeding after a subtotal gastrectomy with Roux-en-Y reconstruction; and secondly, a 53 year old male who was admitted to the Emergency Room due to gastric perforation developing multiple complications, including bowel necrosis and enteral feeding impaction. Discussion: We have reviewed the recent literature with regard to this rare complication.