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Endoscopic suturing for the management of recurrent dislodgment of percutaneous endoscopic gastrostomy-jejunostomy tube.
J Dig Dis. 2018 Mar; 19(3):170-176.JD

Abstract

OBJECTIVE

To describe a novel technique for the prevention of recurrent percutaneous endoscopic gastrostomy-jejunostomy (PEG-J) tube dislodgements and assess its feasibility and efficacy. This technique utilizes endoscopic suturing to secure the PEG-J tube to the gastric wall.

METHODS

This was a retrospective analysis of consecutive cases of recurrent PEG-J tube dislodgements referred to a single endoscopist between June 2016 and June 2017, using an endoscopic suturing system to secure the PEG-J tube directly to the gastric wall. Technical success rates, the procedure time and related adverse events were analyzed.

RESULTS

There were five patients in total (three females). The procedure was technically successful in all patients. There were no procedure-related adverse events. The mean duration of follow-up was 7.8 ± 5.1 months. Two patients had accidental dislodgement at 8.5 and 12 months, respectively. There were no other unintended dislodgements.

CONCLUSION

Endoscopic suturing with internal fixation of PEG-J tube is a safe and feasible approach to manage recurrent unintended dislodgements.

Authors+Show Affiliations

Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.Division of Intramural Population Health Research, National Institute of Child Health and Human Development, Bethesda, Maryland, USA.Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29389058

Citation

Agnihotri, Abhishek, et al. "Endoscopic Suturing for the Management of Recurrent Dislodgment of Percutaneous Endoscopic Gastrostomy-jejunostomy Tube." Journal of Digestive Diseases, vol. 19, no. 3, 2018, pp. 170-176.
Agnihotri A, Barola S, Hill C, et al. Endoscopic suturing for the management of recurrent dislodgment of percutaneous endoscopic gastrostomy-jejunostomy tube. J Dig Dis. 2018;19(3):170-176.
Agnihotri, A., Barola, S., Hill, C., Mishra, P., Fayad, L., Dunlap, M., Moran, R. A., Singh, V. K., Kalloo, A. N., Khashab, M. A., & Kumbhari, V. (2018). Endoscopic suturing for the management of recurrent dislodgment of percutaneous endoscopic gastrostomy-jejunostomy tube. Journal of Digestive Diseases, 19(3), 170-176. https://doi.org/10.1111/1751-2980.12581
Agnihotri A, et al. Endoscopic Suturing for the Management of Recurrent Dislodgment of Percutaneous Endoscopic Gastrostomy-jejunostomy Tube. J Dig Dis. 2018;19(3):170-176. PubMed PMID: 29389058.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic suturing for the management of recurrent dislodgment of percutaneous endoscopic gastrostomy-jejunostomy tube. AU - Agnihotri,Abhishek, AU - Barola,Sindhu, AU - Hill,Christine, AU - Mishra,Priya, AU - Fayad,Lea, AU - Dunlap,Margo, AU - Moran,Robert A, AU - Singh,Vikesh K, AU - Kalloo,Anthony N, AU - Khashab,Mouen A, AU - Kumbhari,Vivek, PY - 2017/12/12/received PY - 2018/01/25/revised PY - 2018/01/28/accepted PY - 2018/2/2/pubmed PY - 2018/9/25/medline PY - 2018/2/2/entrez KW - PEG KW - PEG-J tube KW - dislodgement KW - endoscopic suturing SP - 170 EP - 176 JF - Journal of digestive diseases JO - J Dig Dis VL - 19 IS - 3 N2 - OBJECTIVE: To describe a novel technique for the prevention of recurrent percutaneous endoscopic gastrostomy-jejunostomy (PEG-J) tube dislodgements and assess its feasibility and efficacy. This technique utilizes endoscopic suturing to secure the PEG-J tube to the gastric wall. METHODS: This was a retrospective analysis of consecutive cases of recurrent PEG-J tube dislodgements referred to a single endoscopist between June 2016 and June 2017, using an endoscopic suturing system to secure the PEG-J tube directly to the gastric wall. Technical success rates, the procedure time and related adverse events were analyzed. RESULTS: There were five patients in total (three females). The procedure was technically successful in all patients. There were no procedure-related adverse events. The mean duration of follow-up was 7.8 ± 5.1 months. Two patients had accidental dislodgement at 8.5 and 12 months, respectively. There were no other unintended dislodgements. CONCLUSION: Endoscopic suturing with internal fixation of PEG-J tube is a safe and feasible approach to manage recurrent unintended dislodgements. SN - 1751-2980 UR - https://www.unboundmedicine.com/medline/citation/29389058/Endoscopic_suturing_for_the_management_of_recurrent_dislodgment_of_percutaneous_endoscopic_gastrostomy_jejunostomy_tube_ L2 - https://doi.org/10.1111/1751-2980.12581 DB - PRIME DP - Unbound Medicine ER -