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Updated: May 12, 2025
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Colonial Wig Pancreaticojejunostomy
Published on: March 12, 2019
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Percutaneous Jejunostomy
Adam P Jacobs1, Nancy Ann B Little1, Junaid Raja1
1Division of Vascular and Interventional Radiology, University of Alabama at Birmingham, Birmingham, Alabama.
Seminars in Interventional Radiology
|May 9, 2025
Summary
Direct percutaneous jejunostomy offers supplemental enteral nutrition when other methods fail. This two-stage procedure demonstrates technical success and complication rates comparable to surgical jejunostomy.
Area of Science:
- Gastroenterology
- Interventional Radiology
- Surgical Procedures
Background:
- Direct percutaneous jejunostomy is an underutilized technique for enteral nutrition.
- It is indicated when percutaneous gastrostomy is not feasible or post-pyloric feeding is required.
- Few case series detail the procedural technique and outcomes.
Purpose of the Study:
- To describe a two-stage percutaneous jejunostomy placement technique.
- To report on the procedural outcomes and complication rates.
Main Methods:
- A two-stage procedure involving initial jejunostomy under fluoroscopic and ultrasound guidance with a nasojejunal tube for distension.
- Deployment of a suture anchor, guidewire placement, serial dilation, and 14-Fr pigtail catheter insertion.
- A second stage 4-6 weeks later for conversion to a formal jejunostomy catheter under fluoroscopic guidance.
Main Results:
- Technical success and complication rates are comparable to surgical jejunostomy.
- Major complications occurred in 12% of patients, and minor complications in 9.8% in prior studies.
- The described two-stage approach facilitates jejunostomy placement.
Conclusions:
- Percutaneous jejunostomy is a viable option for supplemental enteral nutrition.
- The two-stage technique offers comparable outcomes to surgical jejunostomy.
- Further studies can refine this underutilized procedure.
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