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A novel ballooned-tip percutaneous endoscopic gastrojejunostomy tube: a pilot study.
Gastrointest Endosc. 2013 Jul; 78(1):154-7.GE

Abstract

BACKGROUND

The tip of currently available percutaneous endoscopic gastrojejunostomy (PEGJ) tubes frequently migrates back into the stomach.

OBJECTIVE

To study the safety of a novel, ballooned-tip, PEGJ tube and assess the risk of retrograde migration into the stomach within 3 weeks of placement.

DESIGN

Prospective clinical study (NCT01551095).

SETTING

Tertiary-care center.

PATIENTS

Seven patients who required post-pyloric feeding were included.

INTERVENTION

Placement of PEGJ feeding tubes.

MAIN OUTCOME MEASUREMENTS

Position of the PEGJ, abdominal radiograph findings, adverse events.

RESULTS

Seven patients underwent placement of self-propelled PEGJ tubes during the study period. Technical success was achieved in all patients (100%). All procedures were rated as technically simple, and jejunostomy tubes were placed in <5 minutes during all procedures. Abdominal radiographs showed that the jejunostomy tubes were in the jejunum in all 7 patients at both 1 and 3 weeks after tube placement.

LIMITATIONS

Small number of patients and short follow-up.

CONCLUSION

Ballooned-tip PEGJ feeding tubes were safe and easy to place. The presence of the balloon prevented migration into the stomach. Ballooned-tip PEGJ tubes have the potential to eliminate the need for hospital readmission and repeat endoscopies for retrograde tube migration, and this may result in large systemic cost savings.

Authors+Show Affiliations

Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, MD 21205, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

23622977

Citation

Kim, Katherine J., et al. "A Novel Ballooned-tip Percutaneous Endoscopic Gastrojejunostomy Tube: a Pilot Study." Gastrointestinal Endoscopy, vol. 78, no. 1, 2013, pp. 154-7.
Kim KJ, Victor D, Stein E, et al. A novel ballooned-tip percutaneous endoscopic gastrojejunostomy tube: a pilot study. Gastrointest Endosc. 2013;78(1):154-7.
Kim, K. J., Victor, D., Stein, E., Valeshabad, A. K., Saxena, P., Singh, V. K., Lennon, A. M., Clarke, J. O., & Khashab, M. A. (2013). A novel ballooned-tip percutaneous endoscopic gastrojejunostomy tube: a pilot study. Gastrointestinal Endoscopy, 78(1), 154-7. https://doi.org/10.1016/j.gie.2013.03.005
Kim KJ, et al. A Novel Ballooned-tip Percutaneous Endoscopic Gastrojejunostomy Tube: a Pilot Study. Gastrointest Endosc. 2013;78(1):154-7. PubMed PMID: 23622977.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A novel ballooned-tip percutaneous endoscopic gastrojejunostomy tube: a pilot study. AU - Kim,Katherine J, AU - Victor,David, AU - Stein,Ellen, AU - Valeshabad,Ali Kord, AU - Saxena,Payal, AU - Singh,Vikesh K, AU - Lennon,Anne Marie, AU - Clarke,John O, AU - Khashab,Mouen A, Y1 - 2013/04/24/ PY - 2013/01/02/received PY - 2013/03/04/accepted PY - 2013/4/30/entrez PY - 2013/4/30/pubmed PY - 2014/2/26/medline SP - 154 EP - 7 JF - Gastrointestinal endoscopy JO - Gastrointest Endosc VL - 78 IS - 1 N2 - BACKGROUND: The tip of currently available percutaneous endoscopic gastrojejunostomy (PEGJ) tubes frequently migrates back into the stomach. OBJECTIVE: To study the safety of a novel, ballooned-tip, PEGJ tube and assess the risk of retrograde migration into the stomach within 3 weeks of placement. DESIGN: Prospective clinical study (NCT01551095). SETTING: Tertiary-care center. PATIENTS: Seven patients who required post-pyloric feeding were included. INTERVENTION: Placement of PEGJ feeding tubes. MAIN OUTCOME MEASUREMENTS: Position of the PEGJ, abdominal radiograph findings, adverse events. RESULTS: Seven patients underwent placement of self-propelled PEGJ tubes during the study period. Technical success was achieved in all patients (100%). All procedures were rated as technically simple, and jejunostomy tubes were placed in <5 minutes during all procedures. Abdominal radiographs showed that the jejunostomy tubes were in the jejunum in all 7 patients at both 1 and 3 weeks after tube placement. LIMITATIONS: Small number of patients and short follow-up. CONCLUSION: Ballooned-tip PEGJ feeding tubes were safe and easy to place. The presence of the balloon prevented migration into the stomach. Ballooned-tip PEGJ tubes have the potential to eliminate the need for hospital readmission and repeat endoscopies for retrograde tube migration, and this may result in large systemic cost savings. SN - 1097-6779 UR - https://www.unboundmedicine.com/medline/citation/23622977/A_novel_ballooned_tip_percutaneous_endoscopic_gastrojejunostomy_tube:_a_pilot_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0016-5107(13)00219-8 DB - PRIME DP - Unbound Medicine ER -