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Direct percutaneous endoscopic jejunostomy: a case series in pediatric patients.
Gastrointest Endosc. 2008 May; 67(6):984-7.GE

Abstract

BACKGROUND

Direct percutaneous endoscopic jejunostomy (DPEJ) is a well-known approach to deliver postpyloric enteral nutrition support to individuals who cannot tolerate gastric feeding. DPEJ addresses many of the shortcomings of jejunal feeding tubes placed through percutaneous endoscopic gastrostomy tubes. The safety and efficacy of DPEJ in adults has been previously reported. There are no reports on the use of DPEJ in pediatric patients.

OBJECTIVE

Our purpose was to report on 5 pediatric patients who underwent DPEJ placement between January 2000 and January 2003 over the available follow-up periods.

DESIGN

Retrospective case series.

SETTING

University of Utah Health Sciences Center and the Medical University of South Carolina.

PATIENTS

Five patients, age range 4 to 17 years.

MAIN OUTCOME MEASUREMENTS

Rate of successful tube placement, major and minor complications, and outcomes including weight gain and recurrent aspiration after DPEJ placement.

RESULTS

All 5 attempted DPEJs were placed successfully with 2 minor complications of peristomal leakage and peristomal skin infection. One DPEJ was replaced 2 years after placement because of fungal degradation. The mean weight gain among all patients was 10.3 kg in a mean of 22.6 months.

LIMITATIONS

Retrospective, small series.

CONCLUSIONS

DPEJ placement appears to be a safe and effective approach to enteral nutritional support in pediatric patients requiring long-term access to the jejunum. No major complications occurred and all patients gained weight after tube placement.

Authors+Show Affiliations

Division of Gastroenterology, University of Utah, Salt Lake City, Utah 84132, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Multicenter Study

Language

eng

PubMed ID

18308316

Citation

Virnig, Daniel J., et al. "Direct Percutaneous Endoscopic Jejunostomy: a Case Series in Pediatric Patients." Gastrointestinal Endoscopy, vol. 67, no. 6, 2008, pp. 984-7.
Virnig DJ, Frech EJ, Delegge MH, et al. Direct percutaneous endoscopic jejunostomy: a case series in pediatric patients. Gastrointest Endosc. 2008;67(6):984-7.
Virnig, D. J., Frech, E. J., Delegge, M. H., & Fang, J. C. (2008). Direct percutaneous endoscopic jejunostomy: a case series in pediatric patients. Gastrointestinal Endoscopy, 67(6), 984-7. https://doi.org/10.1016/j.gie.2007.11.008
Virnig DJ, et al. Direct Percutaneous Endoscopic Jejunostomy: a Case Series in Pediatric Patients. Gastrointest Endosc. 2008;67(6):984-7. PubMed PMID: 18308316.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Direct percutaneous endoscopic jejunostomy: a case series in pediatric patients. AU - Virnig,Daniel J, AU - Frech,Edward J, AU - Delegge,Mark H, AU - Fang,John C, Y1 - 2008/03/04/ PY - 2007/02/23/received PY - 2007/11/12/accepted PY - 2008/3/1/pubmed PY - 2008/8/22/medline PY - 2008/3/1/entrez SP - 984 EP - 7 JF - Gastrointestinal endoscopy JO - Gastrointest Endosc VL - 67 IS - 6 N2 - BACKGROUND: Direct percutaneous endoscopic jejunostomy (DPEJ) is a well-known approach to deliver postpyloric enteral nutrition support to individuals who cannot tolerate gastric feeding. DPEJ addresses many of the shortcomings of jejunal feeding tubes placed through percutaneous endoscopic gastrostomy tubes. The safety and efficacy of DPEJ in adults has been previously reported. There are no reports on the use of DPEJ in pediatric patients. OBJECTIVE: Our purpose was to report on 5 pediatric patients who underwent DPEJ placement between January 2000 and January 2003 over the available follow-up periods. DESIGN: Retrospective case series. SETTING: University of Utah Health Sciences Center and the Medical University of South Carolina. PATIENTS: Five patients, age range 4 to 17 years. MAIN OUTCOME MEASUREMENTS: Rate of successful tube placement, major and minor complications, and outcomes including weight gain and recurrent aspiration after DPEJ placement. RESULTS: All 5 attempted DPEJs were placed successfully with 2 minor complications of peristomal leakage and peristomal skin infection. One DPEJ was replaced 2 years after placement because of fungal degradation. The mean weight gain among all patients was 10.3 kg in a mean of 22.6 months. LIMITATIONS: Retrospective, small series. CONCLUSIONS: DPEJ placement appears to be a safe and effective approach to enteral nutritional support in pediatric patients requiring long-term access to the jejunum. No major complications occurred and all patients gained weight after tube placement. SN - 0016-5107 UR - https://www.unboundmedicine.com/medline/citation/18308316/Direct_percutaneous_endoscopic_jejunostomy:_a_case_series_in_pediatric_patients_ DB - PRIME DP - Unbound Medicine ER -