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Article: Percutaneous gastrostomy and transgastric jejunostomy.

Ho, C S / Yeung, E Y

1992 Volume 158, Issue 2, Page(s) 251–257

Abstract: ... Percutaneous gastrostomy by either the endoscopic or the fluoroscopically guided Seldinger technique was ... Several published studies compare surgical with nonsurgical gastrostomy, but none compare the two percutaneous ... clinical data have been accumulated and published to validate the safety of the percutaneous approach ...

Abstract	Gastrostomy for feeding or decompression of the stomach or small intestine can be performed by using surgical or percutaneous, nonsurgical techniques. Although use of the surgical technique is well established, recent interest has focused on the nonsurgical methods because of their lower rates of morbidity. Percutaneous gastrostomy by either the endoscopic or the fluoroscopically guided Seldinger technique was introduced in the early 1980s. A number of technical modifications have been described, and sufficient clinical data have been accumulated and published to validate the safety of the percutaneous approach. Several published studies compare surgical with nonsurgical gastrostomy, but none compare the two percutaneous techniques. The purpose of this article is to review the current status of the fluoroscopically guided technique, its indications, and its results and to examine the relative merits of the surgical and nonsurgical techniques.
MeSH term(s)	Enteral Nutrition ; Fluoroscopy ; Gastroscopy ; Gastrostomy/adverse effects ; Gastrostomy/methods ; Humans ; Jejunostomy/adverse effects ; Jejunostomy/methods
Language	English
Publishing date	1992-02
Publishing country	United States
Document type	Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	82076-3
ISSN	1546-3141 ; 0361-803X ; 0092-5381
ISSN (online)	1546-3141
ISSN	0361-803X ; 0092-5381
DOI	10.2214/ajr.158.2.1729776
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Article: Percutaneous Fluoroscopic Gastrostomy and Transgastric Jejunostomy

Simons, Martin E. / Yeung, Eugene Y. / Ho, Chia-Sing

Seminars in Interventional Radiology

1996 Volume 13, Issue 02, Page(s) 159–167

Language	English
Publishing date	1996-06-01
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	848341-3
ISSN	1098-8963 ; 0739-9529
ISSN (online)	1098-8963
ISSN	0739-9529
DOI	10.1055/s-2008-1057900
Database	Thieme publisher's database

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Article: Effectiveness and safety of an atropine/midazolam and target controlled infusion propofol-based moderate sedation protocol during percutaneous endoscopic transgastric jejunostomy procedures in Parkinson's disease: a real-life retrospective observational study.

Gravina, Antonietta Gerarda / Pellegrino, Raffaele / De Micco, Rosa / Dellavalle, Mirco / Grasso, Anna / Palladino, Giovanna / Satolli, Sara / Ciaravola, Massimo / Federico, Alessandro / Tessitore, Alessandro / Romano, Marco / Ferraro, Fausto

Frontiers in medicine

2023 Volume 10, Page(s) 1233575

Abstract: ... gastrostomy (PEG) with a jejunal tube (PEG-J) to improve their motor outcome and quality of life ... and indication for PEG-J procedure (implantation, replacement, removal) underwent, from 2017 to 2022 ... a continuous intestinal infusion of carbidopa/levodopa gel by the placement of a percutaneous endoscopic ...

Abstract	Patients with Parkinson's disease (PD), often elderly with various comorbidities, may require a continuous intestinal infusion of carbidopa/levodopa gel by the placement of a percutaneous endoscopic gastrostomy (PEG) with a jejunal tube (PEG-J) to improve their motor outcome and quality of life. However, it is unclear what is the best procedural sedation protocol for PEG-J procedures. Fifty patients with PD and indication for PEG-J procedure (implantation, replacement, removal) underwent, from 2017 to 2022, a sedation protocol characterized by premedication with atropine (0.01 mg/Kg
Language	English
Publishing date	2023-09-12
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2775999-4
ISSN	2296-858X
ISSN	2296-858X
DOI	10.3389/fmed.2023.1233575
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Article: The Role of Percutaneous Endoscopic Transgastric Jejunostomy in the Management of Enteral Tube Feeding.

Toh Yoon, Ezekiel Wong

Gastroenterology research

2016 Volume 9, Issue 2-3, Page(s) 53–55

Abstract: ... such as aspiration pneumonia can impede the use of PEG. Percutaneous endoscopic transgastric jejunostomy (PEG-J) using large ... Feeding-related adverse events after percutaneous endoscopic gastrostomy (PEG ... passage during enteral nutrition and improving drainage of excessive gastric secretions. This report ...

Abstract	Feeding-related adverse events after percutaneous endoscopic gastrostomy (PEG) such as aspiration pneumonia can impede the use of PEG. Percutaneous endoscopic transgastric jejunostomy (PEG-J) using large-bore jejunal tubes with gastric decompression function may improve outcomes by circumventing gastric passage during enteral nutrition and improving drainage of excessive gastric secretions. This report describes a case where PEG-J was successful in maintaining enteral tube feeding in a 72-year-old man when PEG feeding was not tolerated. Patients with unsuccessful PEG feeding can be offered the option of jejunal feeding before terminating enteral nutrition.
Language	English
Publishing date	2016-06-18
Publishing country	Canada
Document type	Case Reports
ZDB-ID	2475913-2
ISSN	1918-2813 ; 1918-2805
ISSN (online)	1918-2813
ISSN	1918-2805
DOI	10.14740/gr704w
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Article ; Online: One-step percutaneous gastrojejunostomy in early infancy.

Michaud, Laurent / Robert-Dehault, Amélie / Coopman, Stéphanie / Guimber, Dominique / Turck, Dominique / Gottrand, Frédéric

Journal of pediatric gastroenterology and nutrition

2012 Volume 54, Issue 6, Page(s) 820–821

Abstract: ... feeding tube inserted using a 16-CH French introducer percutaneous endoscopic gastrostomy kit and ... feeding tube via gastrostomy constitutes an alternative to jejunostomy but requires a preexisting gastrostomy ... without a preexisting gastrostomy tract is feasible in young and low-weight infants. ...

Abstract	In certain conditions that obviate the use of gastric feedings, the insertion of a jejunal feeding tube via gastrostomy constitutes an alternative to jejunostomy but requires a preexisting gastrostomy. Our aim was to assess a new technique of 1-step gastrojejunal tube insertion through a de novo gastrostomy. A total of 3 infants between 3 and 7 months old and weighing between 4.1 and 5.4 kg had a gastrojejunal feeding tube inserted using a 16-CH French introducer percutaneous endoscopic gastrostomy kit and a transgastric-jejunal feeding tube. No technical difficulties occurred and the gastrojejunal feeding tube was placed successfully in the 3 patients, the total procedure lasting 15 to 20 minutes. Enteral feeding was started within 4 to 6 hours of the procedure. Neither immediate (<24 hours) nor late complications related to the gastrojejunostomy occurred. Nissen fundoplication was performed in 2 of our patients at 12 and 15 months of age, respectively. The gastrojejunostomy tube was still in place in the third patient at age 15 months. Our first experience suggests that 1-step endoscopic placement of a transgastric-jejunal feeding tube without a preexisting gastrostomy tract is feasible in young and low-weight infants.
MeSH term(s)	Body Weight ; Endoscopy, Gastrointestinal/methods ; Enteral Nutrition/methods ; Fundoplication ; Gastric Bypass/methods ; Gastrostomy/methods ; Humans ; Infant ; Intubation, Gastrointestinal/methods ; Jejunostomy/methods ; Jejunum/surgery ; Outcome Assessment (Health Care)
Language	English
Publishing date	2012-06
Publishing country	United States
Document type	Case Reports ; Clinical Trial ; Journal Article
ZDB-ID	603201-1
ISSN	1536-4801 ; 0277-2116
ISSN (online)	1536-4801
ISSN	0277-2116
DOI	10.1097/MPG.0b013e31824d970f
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Article ; Online: Percutaneous gastrojejunostomy in children: efficacy and safety.

Michaud, Laurent / Coopman, Stéphanie / Guimber, Dominique / Sfeir, Rony / Turck, Dominique / Gottrand, Frédéric

Archives of disease in childhood

2012 Volume 97, Issue 8, Page(s) 733–734

Abstract: ... gastrostomy is not possible. Between 2001 and 2008, the authors prospectively assessed the outcomes in 29 ... Transgastric jejunal intubation via gastrostomy (GJ) can be indicated when enteral nutrition via ... tolerated in 3 and the gastrojejunal feeding tube was kept in place in the remaining 2. A transgastric ...

Abstract	Transgastric jejunal intubation via gastrostomy (GJ) can be indicated when enteral nutrition via gastrostomy is not possible. Between 2001 and 2008, the authors prospectively assessed the outcomes in 29 patients (median age, 10 months) after GJ. Indications for jejunal feeding were severe gastro-oesophageal reflux (n=27) and intestinal dysmotility (n=2). The GJ was successfully placed in 27/29 patients. Complications were: 31 tube dislodgements, 16 obstructions, 7 leakages around the tube, 6 internal balloon ruptures and 1 intussusception. The median lifetime of the tube was 3 months. 9/27 patients died during the study period, 11 patients required surgery, 2 required parenteral nutrition, gastric feeding became tolerated in 3 and the gastrojejunal feeding tube was kept in place in the remaining 2. A transgastric jejunal feeding tube may constitute a transitory alternative to antireflux surgery or prolonged parenteral nutrition. However, the high frequency of complications and tube replacement limits its use.
MeSH term(s)	Adolescent ; Child ; Child, Preschool ; Enteral Nutrition/methods ; Gastric Bypass/adverse effects ; Gastric Bypass/methods ; Gastroesophageal Reflux/therapy ; Humans ; Infant ; Intestinal Diseases/therapy ; Jejunostomy/adverse effects ; Jejunostomy/methods ; Nutritional Status ; Prospective Studies ; Risk Factors ; Treatment Outcome ; Young Adult
Language	English
Publishing date	2012-08
Publishing country	England
Document type	Journal Article
ZDB-ID	524-1
ISSN	1468-2044 ; 0003-9888 ; 1359-2998
ISSN (online)	1468-2044
ISSN	0003-9888 ; 1359-2998
DOI	10.1136/archdischild-2011-300653
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Article: Gastrojejunoscopy facilitates placement of a percutaneous transgastric jejunostomy in a patient with a pancreaticoduodenectomy and multiple-failed feeding tube placements.

Chick, Jeffrey Forris Beecham / Shields, James / Gemmete, Joseph J / Hage, Anthony / Srinivasa, Ravi N

Radiology case reports

2017 Volume 13, Issue 1, Page(s) 142–145

Abstract: ... who underwent 2 unsuccessful transoral endoscopic nasojejunal tube placements and 2 failed percutaneous ... gastrojejunostomy tube placements. Eventually, a gastrojejunostomy tube was placed utilizing percutaneous techniques ... Enteral access is one of the most common procedures performed in abdominal and ...

Abstract	Enteral access is one of the most common procedures performed in abdominal and interventional radiology. The surgical anatomy of the postoperative stomach may, however, make enteral access challenging. This report describes a patient with a pancreaticoduodenectomy complicated by a gastrojejunostomy leak who underwent 2 unsuccessful transoral endoscopic nasojejunal tube placements and 2 failed percutaneous gastrojejunostomy tube placements. Eventually, a gastrojejunostomy tube was placed utilizing percutaneous techniques with fluoroscopy assistance and gastrojejunoscopy guidance. A combined technique with fluoroscopy and endoscopy, both controlled by interventional radiology, may be useful in patients with complex postsurgical gastrointestinal anatomy who require enteral access.
Language	English
Publishing date	2017-10-21
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	2406300-9
ISSN	1930-0433
ISSN	1930-0433
DOI	10.1016/j.radcr.2017.09.004
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Article ; Online: T-fastener migration after percutaneous gastropexy for transgastric enteral tube insertion.

Sydnor, Ryan H / Schriber, Stacey M / Kim, Charles Yoon

Gut and liver

2014 Volume 8, Issue 5, Page(s) 495–499

Abstract: ... gastropexy deployment.: Methods: We reviewed our procedural database for all percutaneous gastrostomy and ... collections, or fistulae, were identified.: Conclusions: Following gastropexy for percutaneous transgastric ... Background/aims: To determine the prevalence and time-course of t-fastener migration after ...

Abstract	Background/aims: To determine the prevalence and time-course of t-fastener migration after gastropexy deployment. Methods: We reviewed our procedural database for all percutaneous gastrostomy and gastrojejunostomy tube insertions performed over a 14-month period using a widely accepted t-fastener kit for gastropexy (Kimberly-Clark). Of 201 patients, 71 (41 males, 30 females; mean age, 56 years) underwent subsequent abdominal computed tomography (CT) imaging. The location and associated findings of each t-fastener were retrospectively recorded for each CT scan performed after the tube insertion. Results: A total of 153 t-fasteners were deployed during 71 procedures with subsequent CT follow-up. In the short term (within 4 weeks after deployment), 5.1% of the t-fasteners had detached and were no longer present; 59.5% were intraluminal or within the gastric wall; and 35.5% were within the anterior abdominal wall musculature or subcutaneous. In the long term (>3 months), 48.6% of the t-fasteners had detached and were no longer present, 25.0% were intraluminal or within the gastric wall, and 26.4% were within the anterior abdominal wall musculature or subcutaneous. No t-fastener-related complications, such as abscesses, fluid collections, or fistulae, were identified. Conclusions: Following gastropexy for percutaneous transgastric feeding tube placement, t-fastener migration into the abdominal wall frequently occurred soon after the tube insertion. Therefore, recent t-fastener deployment does not guarantee an intact gastropexy.
MeSH term(s)	Abdominal Wall/surgery ; Enteral Nutrition ; Female ; Foreign-Body Migration/complications ; Foreign-Body Migration/epidemiology ; Gastropexy/adverse effects ; Gastropexy/instrumentation ; Humans ; Intubation, Gastrointestinal ; Male ; Middle Aged ; Retrospective Studies ; Surgical Fixation Devices/adverse effects ; Time Factors
Keywords	covid19
Language	English
Publishing date	2014-02-24
Publishing country	Korea (South)
Document type	Journal Article
ZDB-ID	2399010-7
ISSN	2005-1212 ; 1976-2283
ISSN (online)	2005-1212
ISSN	1976-2283
DOI	10.5009/gnl13204
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Article ; Online: Percutaneous Endoscopic Transgastric Jejunostomy (PEG-J) Tube Placement for Levodopa-Carbidopa Intrajejunal Gel Therapy in the Interventional Radiology Suite: A Long-term Follow-up.

Saddi, Maria Valeria / Sarchioto, Marianna / Serra, Giulia / Murgia, Daniela / Ricchi, Valeria / Melis, Marta / Arca, Roberta / Carreras, Pierpaolo / Sitzia, Loredana / Zedda, Sandro / Dui, Giovanni / Rossi, Rosario / Ticca, Anna / Melis, Maurizio / Cossu, Giovanni

Movement disorders clinical practice

2018 Volume 5, Issue 2, Page(s) 191–194

Abstract: Background: Percutaneous endoscopic gastrojejunostomy (PEG) and radiologically inserted ... gastrojejunostomy (RIG) are both safe and effective techniques for gastrojejunal tube placement. The authors ... collated from 30 PEG and 12 RIG procedures performed at 2 centers in patients with advanced PD ...

Abstract	Background: Percutaneous endoscopic gastrojejunostomy (PEG) and radiologically inserted gastrojejunostomy (RIG) are both safe and effective techniques for gastrojejunal tube placement. The authors compared these 2 procedures in patients with advanced Parkinson's disease (PD) who required the continuous intrajejunal delivery of a levodopa/carbidopa gel suspension (LCIG). Methods: Outcomes were retrospectively collated from 30 PEG and 12 RIG procedures performed at 2 centers in patients with advanced PD for the delivery of LCIG. Results: Baseline clinical characteristics, incidence of early severe adverse events, late major complications, dropout, and the mean time-lapse of tube replacements were comparable in the PEG and RIG groups. Conclusion: The current results suggest that, in patients with PD, the RIG technique is as safe and effective as the endoscopic procedure, and it can be considered a valid option for patients who require LCIG when the endoscopic procedure is not available or unfeasible.
Language	English
Publishing date	2018-01-03
Publishing country	United States
Document type	Case Reports
ISSN	2330-1619
ISSN (online)	2330-1619
DOI	10.1002/mdc3.12569
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Article: Percutaneous endoscopic transgastric jejunostomy (PEG-J): a retrospective analysis on its utility in maintaining enteral nutrition after unsuccessful gastric feeding.

Toh Yoon, Ezekiel Wong / Yoneda, Kaori / Nakamura, Shinya / Nishihara, Kazuki

BMJ open gastroenterology

2016 Volume 3, Issue 1, Page(s) e000098

Abstract: ... leakage can impede the use of PEG. Percutaneous endoscopic transgastric jejunostomy (PEG-J) using large ... Background/aims: Although percutaneous endoscopic gastrostomy (PEG) is the method of choice ... for long-term enteral nutrition, feeding-related adverse events such as aspiration pneumonia and peristomal ...

Abstract	Background/aims: Although percutaneous endoscopic gastrostomy (PEG) is the method of choice for long-term enteral nutrition, feeding-related adverse events such as aspiration pneumonia and peristomal leakage can impede the use of PEG. Percutaneous endoscopic transgastric jejunostomy (PEG-J) using large-bore jejunal tubes may help by circumventing gastric passage during enteral nutrition and improving drainage of gastric secretions. Methods: 20 patients (12 males and 8 females) who received PEG-J after unsuccessful PEG feeding during a 6-year period in our institution were analysed retrospectively to evaluate the efficacy of large-bore jejunal feeding tubes in maintaining enteral nutrition. Results: The median age was 83.5 (71-96) years. The median period between PEG and PEG-J was 33 (14-280) days. Indications were aspiration due to gastro-oesophageal reflux in 18 patients and severe peristomal leakage in 2 patients. Tube placements were successful in all patients. There were 6 (30%) in-hospital mortalities, with 3 (15%) occurring within 30 days after procedure. Conclusions: PEG-J can be performed safely in patients with PEG and may facilitate the maintenance of enteral nutrition in most of the patients. Patients with unsuccessful PEG feeding can be offered the option of jejunal feeding before considering termination of enteral nutrition.
Language	English
Publishing date	2016
Publishing country	England
Document type	Journal Article
ISSN	2054-4774
ISSN	2054-4774
DOI	10.1136/bmjgast-2016-000098
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