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Percutaneous endoscopic jejunostomy and jejunal extension tube through percutaneous endoscopic gastrostomy: a retrospective analysis of success, complications and outcome.
Digestion. 2009; 79(2):92-7.D

Abstract

BACKGROUND

Percutaneous access to the jejunum is an important approach if gastrostomy feeding is not possible.

OBJECTIVE

To analyze success, short- and long-term complications (STCs, LTCs) in patients with percutaneous endoscopic jejunostomy (PEJ) and jejunal access through percutaneous endoscopic gastrostomy (Jet-PEG).

METHODS

A retrospective analysis of endoscopically placed PEJs and Jet-PEGs. Success rates, mortality, STCs and LTCs were investigated for risk factors comprising demographic data, underlying disease, previous surgery and experience of the endoscopist.

RESULTS

205 PEJ and 58 Jet-PEG placements were included in the study. PEJs and Jet-PEGs were successfully placed in 65.4 and 89.7%, respectively. Billroth II surgery predisposed in favor of a significantly higher success rate for PEJ placement (p = 0.014, OR = 2.27). Inexperienced examiners have a significantly (p = 0.040) lower success rate for tube insertion than examiners with a medium level of experience. STCs and LTCs occurred evenly in PEJ and Jet-PEG patients. Dislocation of the tube occurred significantly more frequently in Jet-PEG patients (33.3%, p = 0.005). Aspiration was most common for bedridden patients.

CONCLUSION

PEJ has a significantly lower success rate for insertions, but fewer LTCs. The experience of the endoscopist correlates with the success rate of tube insertion.

Authors+Show Affiliations

Department of Medicine 1, Friedrich Alexander University Erlangen Nuremberg, Ulmenweg 18, DE-91054 Erlangen, Germany. yurdaguel.zopf@uk-erlangen.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19279384

Citation

Zopf, Y, et al. "Percutaneous Endoscopic Jejunostomy and Jejunal Extension Tube Through Percutaneous Endoscopic Gastrostomy: a Retrospective Analysis of Success, Complications and Outcome." Digestion, vol. 79, no. 2, 2009, pp. 92-7.
Zopf Y, Rabe C, Bruckmoser T, et al. Percutaneous endoscopic jejunostomy and jejunal extension tube through percutaneous endoscopic gastrostomy: a retrospective analysis of success, complications and outcome. Digestion. 2009;79(2):92-7.
Zopf, Y., Rabe, C., Bruckmoser, T., Maiss, J., Hahn, E. G., & Schwab, D. (2009). Percutaneous endoscopic jejunostomy and jejunal extension tube through percutaneous endoscopic gastrostomy: a retrospective analysis of success, complications and outcome. Digestion, 79(2), 92-7. https://doi.org/10.1159/000207808
Zopf Y, et al. Percutaneous Endoscopic Jejunostomy and Jejunal Extension Tube Through Percutaneous Endoscopic Gastrostomy: a Retrospective Analysis of Success, Complications and Outcome. Digestion. 2009;79(2):92-7. PubMed PMID: 19279384.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Percutaneous endoscopic jejunostomy and jejunal extension tube through percutaneous endoscopic gastrostomy: a retrospective analysis of success, complications and outcome. AU - Zopf,Y, AU - Rabe,C, AU - Bruckmoser,T, AU - Maiss,J, AU - Hahn,E G, AU - Schwab,D, Y1 - 2009/03/12/ PY - 2008/11/03/received PY - 2009/02/03/accepted PY - 2009/3/13/entrez PY - 2009/3/13/pubmed PY - 2009/7/18/medline SP - 92 EP - 7 JF - Digestion JO - Digestion VL - 79 IS - 2 N2 - BACKGROUND: Percutaneous access to the jejunum is an important approach if gastrostomy feeding is not possible. OBJECTIVE: To analyze success, short- and long-term complications (STCs, LTCs) in patients with percutaneous endoscopic jejunostomy (PEJ) and jejunal access through percutaneous endoscopic gastrostomy (Jet-PEG). METHODS: A retrospective analysis of endoscopically placed PEJs and Jet-PEGs. Success rates, mortality, STCs and LTCs were investigated for risk factors comprising demographic data, underlying disease, previous surgery and experience of the endoscopist. RESULTS: 205 PEJ and 58 Jet-PEG placements were included in the study. PEJs and Jet-PEGs were successfully placed in 65.4 and 89.7%, respectively. Billroth II surgery predisposed in favor of a significantly higher success rate for PEJ placement (p = 0.014, OR = 2.27). Inexperienced examiners have a significantly (p = 0.040) lower success rate for tube insertion than examiners with a medium level of experience. STCs and LTCs occurred evenly in PEJ and Jet-PEG patients. Dislocation of the tube occurred significantly more frequently in Jet-PEG patients (33.3%, p = 0.005). Aspiration was most common for bedridden patients. CONCLUSION: PEJ has a significantly lower success rate for insertions, but fewer LTCs. The experience of the endoscopist correlates with the success rate of tube insertion. SN - 1421-9867 UR - https://www.unboundmedicine.com/medline/citation/19279384/Percutaneous_endoscopic_jejunostomy_and_jejunal_extension_tube_through_percutaneous_endoscopic_gastrostomy:_a_retrospective_analysis_of_success_complications_and_outcome_ L2 - https://www.karger.com?DOI=10.1159/000207808 DB - PRIME DP - Unbound Medicine ER -