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Colonial Wig Pancreaticojejunostomy
Published on: March 12, 2019
One-step percutaneous gastrojejunostomy in early infancy.
Laurent Michaud1, Amélie Robert-Dehault, Stéphanie Coopman
1Division of Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, Jeanne de Flandre Children's Hospital and Faculty of Medicine, University Lille 2, Lille, France. laurent.michaud@chru-lille.fr
Journal of Pediatric Gastroenterology and Nutrition
|February 15, 2012
Summary
A new 1-step gastrojejunal tube insertion technique is feasible for infants. This endoscopic procedure bypasses the need for a prior gastrostomy, offering a simpler feeding tube placement option.
Area of Science:
- Pediatric Gastroenterology
- Minimally Invasive Procedures
Background:
- Jejunal feeding tubes are alternatives to jejunostomy when gastric feeding is not possible.
- Current methods often require a pre-existing gastrostomy, limiting immediate application.
Observation:
- A novel 1-step endoscopic gastrojejunal tube insertion technique was evaluated.
- The procedure utilized a percutaneous endoscopic gastrostomy kit and a transgastric-jejunal feeding tube.
Findings:
- Successful gastrojejunal tube placement was achieved in 3 infants (3-7 months old, 4.1-5.4 kg) without technical difficulties.
- The procedure took 15-20 minutes, with enteral feeding initiated within 4-6 hours.
- No immediate or late complications were observed.
Implications:
- This 1-step technique offers a feasible and efficient method for gastrojejunal feeding tube placement in infants.
- It simplifies the process by avoiding the need for a pre-existing gastrostomy tract.
- The approach may be particularly beneficial for young, low-weight infants requiring enteral nutrition.
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