Jejunal interposition grafts

Respiratory symptoms

• Dyspnoea was reported in 62%, 25% during exertion, 37% in infection and 12% during stress.
• Noisy breathing was reported in 25%, continuous in 25% and during infection in 12%.
• Recurrent pneumonia was reported in 25% and episodic in 25%; 37% reported respiratory tract infections. (70)
• Lung function tests are also commonly abnormal – FEV1/FVC is abnormal in 29%, FEV1 in 71%, FVC in 43%, PEF in 43%, TLC in 29%.

These patients also have very high levels of respiratory morbidity, similar to gastric pull-up.

Gastrointestinal symptoms

• Dysphagia present in 50%.
• Choking present in 37%.
• Heartburn present in 12%.
• However, levels of medication in jejunal interposition is less than found in gastric pull-up, with only 12% in one study on anti-reflux medication and 12% prokinetics. (176)