Jejunal Interposition Treatment in India
About Jejunal Interposition
Key Highlights
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Provides a functional, physiological conduit for swallowing after major upper GI resection.Utilizes vascularized, living tissue which can heal well and adapt.Preserves some of the jejunum's natural peristaltic activity to aid food passage.Can be a definitive solution for complex reconstructive challenges where other options fail.Helps maintain nutritional intake by restoring the ability to eat orally.
Who is this surgery for?
- Reconstruction following total or near-total gastrectomy for gastric cancer.
- Replacement of the esophagus after resection for esophageal cancer.
- Management of severe, refractory benign esophageal strictures not amenable to dilation.
- Treatment of complications from previous gastric surgery, such as severe reflux or dumping syndrome.
- Repair after caustic injury to the esophagus or stomach.
- As a salvage procedure after failed previous reconstructive surgery.
How to prepare
- Comprehensive pre-operative evaluation including nutritional assessment, as patients are often malnourished.
- Imaging studies like CT scans or barium swallows to precisely map anatomy and plan surgery.
- Optimization of medical conditions (heart, lung, diabetes management).
- Pre-operative counseling with a dietitian and possibly a speech-language pathologist.
- Bowel preparation protocol to clean the intestines.
- Informed consent process detailing the complexity, risks, and recovery expectations.
Risks & possible complications
- Anastomotic leak (leakage from the surgical connections), a serious complication.
- Ischemia or necrosis of the transposed jejunal segment due to compromised blood supply.
- Stricture formation at the connection sites, leading to narrowing and swallowing difficulty.
- Post-operative infections, including pneumonia or intra-abdominal abscess.
- Bleeding, either during or after the procedure.
- Delayed gastric emptying or bowel obstruction.
- Nutritional deficiencies and malabsorption in the long term.
- General risks of major abdominal and thoracic surgery (blood clots, heart issues, etc.).
Recovery & hospital stay
- Initial hospital stay in the ICU or a high-dependency unit for close monitoring.
- Nutrition is initially provided intravenously (TPN) or via a feeding tube until healing is confirmed.
- A contrast swallow study is typically performed around day 5-7 to check for leaks before starting oral liquids.
- Gradual advancement of diet from clear liquids to purees to soft foods over several weeks.
- Pain management and early, careful mobilization to prevent complications.
- Long-term follow-up for nutritional monitoring, management of eating habits, and surveillance for strictures or reflux.
- Physical activity is gradually increased, with full recovery taking several months.
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Typical hospital stay:
10-14 days
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Expected recovery time:
8-12 weeks for initial recovery; 6 months for full stabilization
Frequently Asked Questions
If you are considering jejunal interposition in India, these questions and answers can help you make a confident, informed decision.
Popular choices for jejunal interposition in India include Kamineni Hospital, Tadigadapa, Manipal Hospital Bhubaneswar, Manipal Hospital Mukundapur, Manipal Hospital Dhakuria, Manipal Hospital Malleshwaram, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform jejunal interposition. MediFyr helps you compare general surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for jejunal interposition compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 350 Thousand – 800 Thousand | 10-14 days | ~ 8-12 weeks for initial recovery; 6 months for full stabilization | Know More |
| Turkey | TRY 1.23 Million – 2.8 Million | 10-14 days | ~ 8-12 weeks for initial recovery; 6 months for full stabilization | Know More |
Top hospitals for Jejunal Interposition in India
These partner hospitals in India have dedicated general surgery teams and experience managing patients undergoing jejunal interposition.
vijayawada, India
44 Doctors
Emma Joshi, a 42-year-old high school...
Emma Joshi, a 42-year-old high school biology teacher, had struggled for over a decade with severe, refractory gastroesophageal reflux disease (GERD). Despite maximal medical therapy with high-dose proton pump inhibitors and lifestyle changes, she suffered nightly from debilitating heartburn, regurgitation, and a chronic cough that disrupted her sleep and teaching. An endoscopy revealed severe esophagitis and a small hiatal hernia, but her main issue was a weak lower esophageal sphincter. After a failed Nissen fundoplication five years prior left her with persistent symptoms and new-onset bloating, she was desperate. Her surgeon, Dr. Evans, recommended a Jejunal Interposition. He explained that this more complex procedure would use a segment of her own small intestine to create a new, robust anti-reflux valve and reconstruct the gastroesophageal junction, offering her a chance at a normal life. The surgery was long and required a meticulous recovery in the hospital, managing her new anatomy. The first few months were challenging as she adjusted to a strict pureed diet and new sensations. However, by six months, Emma was symptom-free for the first time in years. She could sleep through the night, enjoy meals without fear, and her chronic cough vanished. Emotionally, she transitioned from a state of chronic anxiety and exhaustion to one of profound relief and gratitude, feeling she had finally reclaimed her health and vitality.
General surgeons for Jejunal Interposition
Explore experienced general surgeons who regularly perform jejunal interposition and provide pre- and post-operative care in India.
- 31 Years Experience
- General surgeon
Miot Hospital Chennai, Chennai
- 18 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 18 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 15 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 27 Years Experience
- General surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 24 Years Experience
- General surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- General surgeon
- 16 Years Experience
- General surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- General surgeon
Manipal Hospital Whitefield, Bangalore
- 37 Years Experience
- General surgeon
Manipal Hospital Old Airport Road, Bangalore
- 26 Years Experience
- General surgeon
Manipal Hospital Old Airport Road, Bangalore
- 41 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 11 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 10 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 18 Years Experience
- General surgeon
Manipal Hospital Mysore, Mysore
- 39 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore
- 35 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore