Tags

Type your tag names separated by a space and hit enter

Percutaneous endoscopic gastrojejunostomy with a tapered tip, nonweighted jejunal feeding tube: improved placement success.
Am J Gastroenterol. 1996 Jun; 91(6):1130-4.AJ

Abstract

OBJECTIVES

Gaining enteral access to the small bowel for patients unable to tolerate gastric feedings is a difficult challenge for today's endoscopist. A new over-the-guidewire method for placement of a percutaneous endoscopic gastrojejunostomy (PEG/J) is prospectively studied using a nonweighted, tapered tip, distal feed through jejunal tube (J-tube).

METHODS

Twenty five hospitalized patients were referred to the nutrition service for enteral access. A Wilson-Cook 24/12-French PEG/J system was placed and followed until removal or patient death.

RESULTS

The PEG/J system was placed in 25/25 patients in an average of 26 min and 45 s. The tip of the J-tube was in the distal duodenum in 52% of patients and in the jejunum in 48% of patients. J-tube complications occurred in 20% of patients and included one incidence of clogging (4%) and four cases of inadvertent removal (16%). Average longevity of the J-tube was 63.9 days, with most patients converted to either oral or gastric feedings.

CONCLUSION

The use of an nonweighted, tapered tip J-tube and the over-the-guidewire placement technique has resulted in a reliable method of accessing the small bowel for enteral nutrition.

Authors+Show Affiliations

Charlotte Clinic for Gastrointestinal and Liver Disease, North Carolina 28207, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8651158

Citation

DeLegge, M H., et al. "Percutaneous Endoscopic Gastrojejunostomy With a Tapered Tip, Nonweighted Jejunal Feeding Tube: Improved Placement Success." The American Journal of Gastroenterology, vol. 91, no. 6, 1996, pp. 1130-4.
DeLegge MH, Patrick P, Gibbs R. Percutaneous endoscopic gastrojejunostomy with a tapered tip, nonweighted jejunal feeding tube: improved placement success. Am J Gastroenterol. 1996;91(6):1130-4.
DeLegge, M. H., Patrick, P., & Gibbs, R. (1996). Percutaneous endoscopic gastrojejunostomy with a tapered tip, nonweighted jejunal feeding tube: improved placement success. The American Journal of Gastroenterology, 91(6), 1130-4.
DeLegge MH, Patrick P, Gibbs R. Percutaneous Endoscopic Gastrojejunostomy With a Tapered Tip, Nonweighted Jejunal Feeding Tube: Improved Placement Success. Am J Gastroenterol. 1996;91(6):1130-4. PubMed PMID: 8651158.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Percutaneous endoscopic gastrojejunostomy with a tapered tip, nonweighted jejunal feeding tube: improved placement success. AU - DeLegge,M H, AU - Patrick,P, AU - Gibbs,R, PY - 1996/6/1/pubmed PY - 1996/6/1/medline PY - 1996/6/1/entrez SP - 1130 EP - 4 JF - The American journal of gastroenterology JO - Am J Gastroenterol VL - 91 IS - 6 N2 - OBJECTIVES: Gaining enteral access to the small bowel for patients unable to tolerate gastric feedings is a difficult challenge for today's endoscopist. A new over-the-guidewire method for placement of a percutaneous endoscopic gastrojejunostomy (PEG/J) is prospectively studied using a nonweighted, tapered tip, distal feed through jejunal tube (J-tube). METHODS: Twenty five hospitalized patients were referred to the nutrition service for enteral access. A Wilson-Cook 24/12-French PEG/J system was placed and followed until removal or patient death. RESULTS: The PEG/J system was placed in 25/25 patients in an average of 26 min and 45 s. The tip of the J-tube was in the distal duodenum in 52% of patients and in the jejunum in 48% of patients. J-tube complications occurred in 20% of patients and included one incidence of clogging (4%) and four cases of inadvertent removal (16%). Average longevity of the J-tube was 63.9 days, with most patients converted to either oral or gastric feedings. CONCLUSION: The use of an nonweighted, tapered tip J-tube and the over-the-guidewire placement technique has resulted in a reliable method of accessing the small bowel for enteral nutrition. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/8651158/Percutaneous_endoscopic_gastrojejunostomy_with_a_tapered_tip_nonweighted_jejunal_feeding_tube:_improved_placement_success_ DB - PRIME DP - Unbound Medicine ER -