Related Experiment Video

Updated: Sep 16, 2025

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

221

Frequency and outcomes of gastrojejunostomy tube replacement in children - a single-centre experience

Swetha S Yatham1, Lara Herbert2, Angela Rogers3

  • 1University Hospitals Plymouth NHS Trust, Derriford Rd, Plymouth, PL6 8DH, United Kingdom. s.yatham@nhs.net.

Pediatric Radiology
|July 10, 2025
PubMed

Insights

Routine replacement of gastrojejunostomy tubes every four months is optimal. Elective tube changes, led by interventional radiology, reduce hospital admissions and their length, without increasing radiation dose.

Area of Science:

  • Gastroenterology
  • Interventional Radiology
  • Medical Device Management

Background:

  • There is no established consensus on the optimal timing for routine gastrojejunostomy tube replacement.
  • Current practices vary regarding the frequency and necessity of elective tube changes.

Purpose of the Study:

  • To evaluate the impact of an interventional radiology-led elective gastrojejunostomy tube replacement service.
  • To assess changes in hospital admission rates, duration, and radiation dose after implementing a standardized replacement schedule.

Main Methods:

  • A retrospective review of gastrojejunostomy tube exchanges over an 11-year period (2011-2022) at a single institution.
  • Analysis of data before and after the 2018 introduction of a 4-6 month elective replacement protocol.

Main Results:

  • Over 11 years, 89 tube exchanges were performed in 10 patients, with 50 elective and 25 emergency replacements post-2018.
  • The average replacement interval was 5.6 months (elective: 6.4 months, emergency: 3.3 months), with a median of 4 months.
  • Elective exchanges resulted in shorter admissions (1.2 days vs. 3.1 days) without significant differences in radiation dose compared to emergency procedures.

Conclusions:

  • An optimal interval for gastrojejunostomy tube replacement appears to be 4 months.
  • Implementing an elective, interventional radiology-led replacement service reduces hospital admissions and their duration.
Abstract

Keywords:
Gastrojejunostomy tubesInterventional radiologyPaediatricsRetrospective

More Related Videos

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment03:32

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

945
Author Spotlight: Recent Advancements in Reoperative Foregut Surgery04:14

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

Published on: September 22, 2023

584

Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
303
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
162
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
416
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
151
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
1.3K
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
277