TY - JOUR
T1 - A novel ballooned-tip percutaneous endoscopic gastrojejunostomy tube
T2 - A pilot study
AU - Kim, Katherine J.
AU - Victor, III, David W.
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.
PY - 2013/7/1
Y1 - 2013/7/1
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.
AB - 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.
KW - PEGJ
KW - percutaneous endoscopic gastrojejunostomy
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U2 - 10.1016/j.gie.2013.03.005
DO - 10.1016/j.gie.2013.03.005
M3 - Article
C2 - 23622977
AN - SCOPUS:84879799006
SN - 0016-5107
VL - 78
SP - 154
EP - 157
JO - Gastrointestinal Endoscopy
JF - Gastrointestinal Endoscopy
IS - 1
ER -