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One-step percutaneous gastrojejunostomy in early infancy.
J Pediatr Gastroenterol Nutr. 2012 Jun; 54(6):820-1.JP

Abstract

In certain conditions that obviate the use of gastric feedings, the insertion of a jejunal feeding tube via gastrostomy constitutes an alternative to jejunostomy but requires a preexisting gastrostomy. Our aim was to assess a new technique of 1-step gastrojejunal tube insertion through a de novo gastrostomy. A total of 3 infants between 3 and 7 months old and weighing between 4.1 and 5.4 kg had a gastrojejunal feeding tube inserted using a 16-CH French introducer percutaneous endoscopic gastrostomy kit and a transgastric-jejunal feeding tube. No technical difficulties occurred and the gastrojejunal feeding tube was placed successfully in the 3 patients, the total procedure lasting 15 to 20 minutes. Enteral feeding was started within 4 to 6 hours of the procedure. Neither immediate (<24 hours) nor late complications related to the gastrojejunostomy occurred. Nissen fundoplication was performed in 2 of our patients at 12 and 15 months of age, respectively. The gastrojejunostomy tube was still in place in the third patient at age 15 months. Our first experience suggests that 1-step endoscopic placement of a transgastric-jejunal feeding tube without a preexisting gastrostomy tract is feasible in young and low-weight infants.

Authors+Show Affiliations

Division of Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, Jeanne de Flandre Children's Hospital and Faculty of Medicine, University Lille 2, Lille, France. laurent.michaud@chru-lille.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Clinical Trial
Journal Article

Language

eng

PubMed ID

22331018

Citation

Michaud, Laurent, et al. "One-step Percutaneous Gastrojejunostomy in Early Infancy." Journal of Pediatric Gastroenterology and Nutrition, vol. 54, no. 6, 2012, pp. 820-1.
Michaud L, Robert-Dehault A, Coopman S, et al. One-step percutaneous gastrojejunostomy in early infancy. J Pediatr Gastroenterol Nutr. 2012;54(6):820-1.
Michaud, L., Robert-Dehault, A., Coopman, S., Guimber, D., Turck, D., & Gottrand, F. (2012). One-step percutaneous gastrojejunostomy in early infancy. Journal of Pediatric Gastroenterology and Nutrition, 54(6), 820-1. https://doi.org/10.1097/MPG.0b013e31824d970f
Michaud L, et al. One-step Percutaneous Gastrojejunostomy in Early Infancy. J Pediatr Gastroenterol Nutr. 2012;54(6):820-1. PubMed PMID: 22331018.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - One-step percutaneous gastrojejunostomy in early infancy. AU - Michaud,Laurent, AU - Robert-Dehault,Amélie, AU - Coopman,Stéphanie, AU - Guimber,Dominique, AU - Turck,Dominique, AU - Gottrand,Frédéric, PY - 2012/2/15/entrez PY - 2012/2/15/pubmed PY - 2012/9/5/medline SP - 820 EP - 1 JF - Journal of pediatric gastroenterology and nutrition JO - J. Pediatr. Gastroenterol. Nutr. VL - 54 IS - 6 N2 - In certain conditions that obviate the use of gastric feedings, the insertion of a jejunal feeding tube via gastrostomy constitutes an alternative to jejunostomy but requires a preexisting gastrostomy. Our aim was to assess a new technique of 1-step gastrojejunal tube insertion through a de novo gastrostomy. A total of 3 infants between 3 and 7 months old and weighing between 4.1 and 5.4 kg had a gastrojejunal feeding tube inserted using a 16-CH French introducer percutaneous endoscopic gastrostomy kit and a transgastric-jejunal feeding tube. No technical difficulties occurred and the gastrojejunal feeding tube was placed successfully in the 3 patients, the total procedure lasting 15 to 20 minutes. Enteral feeding was started within 4 to 6 hours of the procedure. Neither immediate (<24 hours) nor late complications related to the gastrojejunostomy occurred. Nissen fundoplication was performed in 2 of our patients at 12 and 15 months of age, respectively. The gastrojejunostomy tube was still in place in the third patient at age 15 months. Our first experience suggests that 1-step endoscopic placement of a transgastric-jejunal feeding tube without a preexisting gastrostomy tract is feasible in young and low-weight infants. SN - 1536-4801 UR - https://www.unboundmedicine.com/medline/citation/22331018/One_step_percutaneous_gastrojejunostomy_in_early_infancy_ L2 - http://dx.doi.org/10.1097/MPG.0b013e31824d970f DB - PRIME DP - Unbound Medicine ER -