A novel ballooned-tip percutaneous endoscopic gastrojejunostomy tube: A pilot study

Katherine J. Kim, David W. Victor, III, Ellen Stein, Ali Kord Valeshabad, Payal Saxena, Vikesh K. Singh, Anne Marie Lennon, John O. Clarke, Mouen A. Khashab

Research output: Contribution to journalArticle

5 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)154-157
Number of pages4
JournalGastrointestinal Endoscopy
Volume78
Issue number1
DOIs
StatePublished - Jul 1 2013

Keywords

  • PEGJ
  • percutaneous endoscopic gastrojejunostomy

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

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