TITLE

Enteral access by double-balloon enteroscopy: an alternative method of direct percutaneous endoscopic jejunostomy placement

AUTHOR(S)
Despott, E.; Gabe, S.; Tripoli, E.; Konieczko, K.; Fraser, C.; Despott, E J
PUB. DATE
February 2011
SOURCE
Digestive Diseases & Sciences;Feb2011, Vol. 56 Issue 2, p494
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
Background: Although direct percutaneous endoscopic jejunal feeding tube placement is an increasingly accepted method of providing small-bowel access for long-term enteral nutrition, it is reliant on push enteroscopy and remains a technically challenging procedure with significant failure rates. Double-balloon enteroscopy, with its ability to provide controlled small-bowel intubation may facilitate direct percutaneous endoscopic jejunal tube placement.Aims and Methods: We report a prospective series of ten consecutive cases of double-balloon enteroscopy-assisted direct percutaneous endoscopic jejunal placement, accompanied by a step-by-step illustrated overview of the technique.Results: Direct percutaneous endoscopic jejunal tube placement by double-balloon enteroscopy was successful in nine of the ten attempted cases. In the first case, direct percutaneous endoscopic jejunal placement was abandoned due to inadequate transillumination; there were no procedure-related complications in any of our patients.Conclusions: This first reported prospective case series of double-balloon enteroscopy-assisted direct percutaneous endoscopic jejunal placement shows a promisingly high success rate; larger comparative studies are required to clearly establish any advantages over the originally described push enteroscopy method.
ACCESSION #
57580448

 

Related Articles

  • Percutaneous gastronomy for enteral nutrition: Long-term follow-up of 176 procedures. Qanadli; Barre, Salah D. // Canadian Association of Radiologists Journal;Aug99, Vol. 50 Issue 4, p260 

    Evaluates the efficacy and safety of percutaneous gastrostomy in delivering enteral nutrition. Use of small catheters without gastropexy; Technical success rate; Mortality rate after thirty days; Complications.

  • PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG): RESTROSPECTIVE ANALYSIS OF A 7-YEAR CLINICAL EXPERIENCE. Vanis, Nenad; Saray, Aida; Gornjakovic, Srdjan; Mesihovic, Rusmir // Acta Informatica Medica;Dec2012, Vol. 20 Issue 4, p235 

    Aims: Since its description in 1980, percutaneous endoscopic gastrostomy has become the modality of choice for providing enteral access to patients who require long-term enteral nutrition. This study aimed to evaluate current indications and complications associated with PEG feeding. Methods: We...

  • The role of gastrostomy tube placement in advanced dementia with dysphagia: a critical review. Goldberg, Leanne S.; Altman, Kenneth W. // Clinical Interventions in Aging;2014, Vol. 9, p1733 

    Purpose: Over 4.5 million people in North America had a diagnosis of dementia in the year 2000, and more than half had advanced disease with potential aspiration risk. There is much controversy regarding the use and timing of enteral feeding support in these patients with dysphagia. The...

  • PEJ.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p1729 

    An encyclopedia entry for the acronym "PEJ," which stands for percutaneous endoscopic jejunostomy, is presented.

  • Nightly enteral nutrition support of elderly hip Gastrostomy (PEG) Tube Feedings in a Veteran fracture patients: A phase I trial. Sullivan, Dennis H. // Gerontologist;Oct1996 Supplement, Vol. 36 Issue 1, p208 

    This non-blinded randomized controlled trial was designed as a first phase study to test the efficacy of aggressive post-operative enteral nutrition support to decrease the rate of post-operative complications or improve long-term outcomes in subgroups of elderly patients who have sustained a...

  • Percutaneous endoscopic gastrostomy (PEG) feeding. Kurien, Matthew; McAlindon, Mark E.; Westaby, David; Sanders, David S. // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;5/15/2010, Vol. 340 Issue 7755, p1074 

    The article presents a clinical review of percutaneous endoscopic gastrostomy feeding. The procedure was introduced into clinical practice in 1980, which eventually became an effective way of providing enteral feeding to patients. Its benefits include improved nutritional status and reduction in...

  • Colon Injury Following Percutaneous Endoscopic Gastrostomy Tube Insertion. Guloglu, Recep; Taviloglu, Korhan; Alimoglu, Orhan // Journal of Laparoendoscopic & Advanced Surgical Techniques;Feb2003, Vol. 13 Issue 1, p69 

    Percutaneous endoscopic gastrostomy (PEG) is used to provide a safe route for enteral feeding. However, serious complications may occur during the procedure, such as transverse colon injuries. It can be difficult to diagnose a colon injury after the procedure in a patient with cobormidities....

  • Prospective Evaluation of Foley Catheter as a Replacement Gastrostomy Tube 1. Kadakia, Shailesh C.; Cassaday, Michael; Shaffer, Richard T. // American Journal of Gastroenterology;Nov1992, Vol. 87 Issue 11, p1594 

    Percutaneous endoscopic gastrostomy provides a non-surgical alternative to enteral feeding. However, the percutaneous endoscopic gastrostomy tube may deteriorate, malfunction, or be accidentally expelled from the stomach, requiring replacement. This prospective study was performed to evaluate...

  • A New Route for Enteral Nutrition with a Percutaneous Trans-Esophageal Gastric-tube. Oishi, Hideto; Shindo, Hironari; Shirotani, Noriyasu; Kameoka, Shingo // Asia Pacific Journal of Clinical Nutrition;2002 Supplement, Vol. 11, pS52 

    Aim: We established a less invasive method of esophagostomy with a rupture-free balloon: RFB which we invented to be used in conjunction with Percutaneous Trans-Esophageal Gastro-tubing: PTEG. PTEG with RFB allows the surgeon to create an esophagostomy safely and simply even in cases with...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics