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Related Experiment Video

Updated: Jun 28, 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

Percutaneous fluoroscopically guided jejunostomy placement.

Howard M Richard¹, David M Widlus, Patrick C Malloy

¹University of Maryland Medical Center, Baltimore, Maryland, USA. hrichard@umm.edu

The Journal of Trauma

|November 13, 2008

Summary

This summary is machine-generated.

Fluoroscopically guided direct jejunostomy placement offers a safe and effective method for enteral access in patients with complex gastrointestinal conditions. This technique is particularly useful when traditional gastrostomy is not feasible due to fistulas or anatomical changes.

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

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Robotic Lateral Pancreaticojejunostomy for Chronic Pancreatitis

Robotic Lateral Pancreaticojejunostomy for Chronic Pancreatitis

Published on: December 14, 2019

Area of Science:

Gastroenterology
Interventional Radiology
Surgical Oncology

Background:

Traditional gastrostomy placement can be challenging in patients with enterocutaneous fistulas or significant postsurgical/neoplastic alterations of the stomach or duodenum.
Alternative methods for enteral access are crucial for nutritional support in these complex cases.

Purpose of the Study:

To evaluate the safety and efficacy of fluoroscopically guided direct jejunostomy tube placement.
To describe the experience with this technique in patients unsuitable for standard gastrostomy.

Main Methods:

Nineteen patients underwent percutaneous direct jejunostomy placement under fluoroscopic guidance.
Patient selection criteria included enterocutaneous fistula, duodenal tumors, unresectable gastric tumors, or postsurgical gastric/duodenal changes.

Main Results:

Initial technical success rate was 95% (18 of 19 procedures).
Primary patency of the jejunostomy tubes was 285 days.
Complications included tube occlusion, dislodgement, and local site irritation; 30-day mortality was 5%.

Conclusions:

Percutaneous direct jejunostomy is a safe and effective option for enteral access.
It provides a viable alternative when conventional gastrostomy is contraindicated.