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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.

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Authors+Show Affiliations

Zopf Y
Department of Medicine 1, Friedrich Alexander University Erlangen Nuremberg, Ulmenweg 18, DE-91054 Erlangen, Germany. yurdaguel.zopf@uk-erlangen.de
Rabe C
No affiliation info available
Bruckmoser T
No affiliation info available
Maiss J
No affiliation info available
Hahn EG
No affiliation info available
Schwab D
No affiliation info available

MeSH

AgedAged, 80 and overEndoscopy, GastrointestinalEnteral NutritionFemaleGastrostomyGermanyHumansJejunostomyMaleMiddle AgedRetrospective StudiesTime Factors

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 -