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Related Experiment Video

Updated: Jul 10, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Direct percutaneous jejunostomy--an underutilized interventional technique?

Patrick Sparrow¹, Elizabeth David, Robyn Pugash

¹Department of Vascular and Interventional Radiology, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, M4N 3M5, Canada. patsparrow@doctors.net.uk

Cardiovascular and Interventional Radiology

|October 19, 2007

Summary

Direct percutaneous jejunostomy offers a 100% technical success rate for jejunal feeding tube placement. This minimally invasive procedure demonstrates a low rate of serious complications, making it a valuable option for various clinical needs.

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Last Updated: Jul 10, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

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Reverse Needle Continuous Suture of the Pancreatic Duct to Jejunal Mucosal Pancreaticointestinal Anastomosis in Laparoscopic Pancreaticoduodenectomy

Reverse Needle Continuous Suture of the Pancreatic Duct to Jejunal Mucosal Pancreaticointestinal Anastomosis in Laparoscopic Pancreaticoduodenectomy

Published on: August 29, 2025

Area of Science:

Gastroenterology
Interventional Radiology
Surgical Oncology

Background:

Percutaneous jejunostomy is an alternative to surgical placement for enteral feeding.
Limited data exists on the single-center experience and outcomes of direct percutaneous jejunostomy.
Evaluating technical success, complications, and patient tolerance is crucial for establishing its clinical utility.

Purpose of the Study:

To report the single-center experience with direct percutaneous jejunostomy over a 4-year period.
To assess the technical success rate, immediate and late complications, and patient tolerance.
To determine the applicability of this procedure in diverse clinical scenarios.

Main Methods:

Retrospective review of 22 consecutive patients undergoing radiological insertion of percutaneous jejunostomy.
Proximal jejunum puncture under fluoroscopic or ultrasonic guidance.
Placement of 10- to 12-Fr catheters following retention suture placement.

Main Results:

Achieved a 100% technical success rate across seven operators.
Indications included gastric resection, esophageal/gastric carcinoma, and bowel obstruction.
Reported six minor early complications and four late complications, with most successfully managed.

Conclusions:

Direct percutaneous jejunostomy is a valuable treatment modality with high technical success.
The procedure is applicable to a range of clinical scenarios, including oncological and obstructive conditions.
Offers a low rate of serious complications, enhancing patient tolerance and management.