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Related Experiment Videos

Direct percutaneous jejunostomy

M J Hallisey1, J C Pollard

  • 1Division of Vascular and Interventional Radiology, Hartford Hospital, University of Connecticut School of Medicine.

Journal of Vascular and Interventional Radiology : JVIR
|July 1, 1994
PubMed
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Direct percutaneous jejunostomy (DPJ) offers a safe method for long-term enteral feeding. This technique is particularly beneficial for patients with complex medical histories, including prior surgeries or recurrent tube dislodgement.

Area of Science:

  • Gastroenterology
  • Interventional Radiology
  • Surgical Procedures

Background:

  • Enteral feeding via gastrostomy or gastrojejunostomy is crucial for patients with inadequate oral intake.
  • Challenges in site creation and maintenance arise in patients with prior surgery, aspiration, abnormal stomach position, or recurrent tube dislodgement.

Purpose of the Study:

  • To evaluate the efficacy and safety of direct percutaneous jejunostomy (DPJ) tube placement in patients facing challenges with traditional enteral feeding access.
  • To assess DPJ as a solution for long-term nutritional support in complex patient populations.

Main Methods:

  • DPJ tube placement was performed using local anesthesia, fluoroscopic guidance, the Seldinger technique, and jejunopexy.
  • The study included 13 patients (9 male, 4 female) with a mean age of 75.2 years.

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  • Fourteen DPJ procedures were attempted.

    • Main Results:

    • DPJ placement was successful in 11 out of 13 patients.
    • A mean follow-up of 58.9 days was achieved for the successful cases.
    • The procedure demonstrated feasibility in a challenging patient cohort.

    Conclusions:

    • Direct percutaneous jejunostomy (DPJ) is a safe and viable alternative for establishing long-term enteral feeding access.
    • DPJ is particularly advantageous for patients with esophagogastric malignancy, recurrent tube dislodgement, or a history of gastric surgery.
    • This technique provides a reliable solution for nutritional support in difficult-to-manage cases.