Fluoroscopically guided percutaneous jejunostomy: outcomes in 25 consecutive patients
1Department of Radiology, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, PR China.
Clinical Radiology
|October 9, 2007
Summary
Fluoroscopically guided percutaneous jejunostomy is a feasible and safe procedure for jejunal feeding tube placement. This minimally invasive technique demonstrates a high success rate and low complication profile in clinical practice.
Area of Science:
- Interventional Radiology
- Gastroenterology
- Surgical Procedures
Background:
- Percutaneous jejunostomy is an alternative route for enteral nutrition.
- Fluoroscopic guidance offers real-time visualization during jejunal access.
Purpose of the Study:
- To evaluate the feasibility and safety of fluoroscopically guided percutaneous jejunostomy.
- To assess technical success, complication rates, and outcomes of this procedure.
Main Methods:
- A retrospective analysis of 25 patients undergoing percutaneous jejunostomy between May 1999 and August 2006.
- Utilized vascular or coil catheters for jejunal insufflation, followed by needle puncture and feeding tube insertion.
- Evaluated technical success, complications, 30-day mortality, and feeding tube dwell time.
Main Results:
- Achieved a technical success rate of 92% (23/25 patients).
- Complications included pericatheter leakage with pneumoperitoneum in 12% of patients, managed conservatively.
- The 30-day mortality rate was 13%, with no direct attribution to the procedure.
Conclusions:
- Fluoroscopically guided percutaneous jejunostomy is a feasible and safe interventional radiology procedure.
- The technique offers a high technical success rate and a low complication rate.
- Both 17 G and 21 G needles are suitable for jejunal puncture in this procedure.
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