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Peritoneal Insufflation Facilitates CT-Guided Percutaneous Jejunostomy Replacement.

David Chiao1, Drew Lambert1

  • 11 Department of Radiology and Medical Imaging, University of Virginia, 1215 Lee St, PO Box 800170, Charlottesville, VA 22908.

AJR. American Journal of Roentgenology
|January 12, 2017
PubMed
Summary

Peritoneal insufflation aids in CT-guided jejunostomy replacement by clearly distinguishing the jejunum from other organs. This technique allows for direct puncture without needing additional fixation devices.

Keywords:
CT-guidedimage-guidedpercutaneous jejunostomy replacementperitoneal insufflationpneumoperitoneum

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Area of Science:

  • Interventional Radiology
  • Gastroenterology
  • Surgical Procedures

Background:

  • Percutaneous jejunostomy is a common procedure for enteral feeding.
  • Replacing jejunostomy tubes can be challenging, especially when the jejunum adheres to the abdominal wall.

Observation:

  • The study investigated the utility of peritoneal insufflation during CT-guided percutaneous jejunostomy replacement.
  • Peritoneal insufflation involves introducing gas into the peritoneal cavity to create space and improve visualization.

Findings:

  • Peritoneal insufflation effectively differentiated the adherent jejunum from adjacent bowel loops.
  • This clear visualization enabled confident direct puncture into the target jejunum.
  • The procedure eliminated the need for jejunopexy anchors, simplifying the replacement process.

Implications:

  • Peritoneal insufflation offers a valuable technique to improve the safety and efficiency of CT-guided jejunostomy replacement.
  • This method may reduce procedural complexity and potential complications associated with jejunal manipulation.