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US and fluoroscopic-guided percutaneous jejunostomy: experience in 49 patients.
H van Overhagen1, M A Ludviksson, J S Laméris
1Department of Radiology, University Hospital Rotterdam, The Netherlands.
Journal of Vascular and Interventional Radiology : JVIR
|February 29, 2000
Summary
Percutaneous jejunostomy is a feasible and safe long-term feeding technique. While leakage is a concern, procedural success rates are high, especially with advanced methods.
Area of Science:
- Interventional Radiology
- Gastroenterology
- Surgical Techniques
Background:
- Percutaneous jejunostomy offers an alternative route for enteral nutrition.
- Optimizing techniques is crucial for patient outcomes and safety.
Purpose of the Study:
- To evaluate the feasibility and safety of various percutaneous jejunostomy techniques.
- To identify factors influencing procedural success and complications.
Main Methods:
- 53 percutaneous jejununostomy procedures were performed in 49 patients.
- Ultrasound and fluoroscopic guidance were utilized.
- Innovations included thicker needles, Cope anchors, and intravenous glucagon.
Main Results:
- Technical success rate was 87% (46/53 procedures).
- Factors for success included prior GI surgery and the use of advanced techniques.
- Complications, primarily leakage, were more common in older patients.
Conclusions:
- Percutaneous jejunostomy is a viable and safe method for long-term enteral feeding.
- Pericatheter leakage remains a significant complication requiring further investigation.