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Related Experiment Videos

Modified catheter for percutaneous gastrojejunostomy.

R R Gray1, E L St Louis, H Grosman

  • 1Department of Radiology, Wellesley Hospital, Toronto, Ont, Canada.

Radiology
|October 1, 1989
PubMed
Summary

A modified gastrojejunostomy catheter with a Cope-loop retention device and side holes effectively prevents dislodgment and peritoneal feeding solution infusion. This improved device has shown success in 71 patients with minimal complications.

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Area of Science:

  • Medical Devices
  • Gastroenterology
  • Surgical Innovation

Background:

  • Catheter dislodgement during gastrojejunostomy can lead to serious complications like peritoneal feeding solution infusion.
  • Existing gastrojejunostomy catheters may be prone to migration or dislodgement.
  • Preventing dislodgement is crucial for safe and effective enteral nutrition delivery.

Purpose of the Study:

  • To describe the modification of a gastrojejunostomy catheter to enhance retention.
  • To evaluate the efficacy and safety of the modified catheter in preventing dislodgement.
  • To reduce the risk of complications associated with gastrojejunostomy tube placement.

Main Methods:

  • Modification of a standard gastrojejunostomy catheter by incorporating a Cope-loop retention device proximally.

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  • Addition of multiple side holes in the distal segment of the catheter.
  • Clinical application and assessment of the modified catheter in a patient cohort.

    • Main Results:

    • The modified catheter successfully prevented dislodgement in all 71 patients treated.
    • No instances of feeding solution infusion into the peritoneum were reported with the modified device.
    • Only minor complications were observed during the study period, indicating a favorable safety profile.

    Conclusions:

    • The modified gastrojejunostomy catheter with a Cope-loop retention device offers a significant improvement in preventing dislodgement.
    • This enhanced catheter design enhances patient safety by mitigating the risk of peritoneal feeding.
    • The modified device represents a valuable advancement for gastrojejunostomy tube management and enteral feeding.