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Limitations of percutaneous endoscopic jejunostomy
J M Henderson1, W E Strodel, N H Gilinsky
1Department of Medicine, University of Kentucky Medical Center, Lexington.
JPEN. Journal of Parenteral and Enteral Nutrition
|November 1, 1993
Summary
Percutaneous endoscopic jejunostomy placement had a high complication rate, including tube dysfunction and dislodgment. Improvements in technique and imaging are needed to enhance patient outcomes.
Area of Science:
- Gastroenterology
- Medical Devices
- Surgical Procedures
Background:
- Percutaneous endoscopic jejunostomy (PEJ) is a method for enteral feeding.
- Evaluating PEJ placement and outcomes is crucial for patient care.
Purpose of the Study:
- To retrospectively review indications and complications of PEJ placement.
- To assess the experience and outcomes of initial PEJ tube placement.
Main Methods:
- Retrospective chart review of 36 patients undergoing PEJ placement.
- Analysis of primary diagnoses, follow-up periods, and complication rates.
Main Results:
- High rates of tube dysfunction or dislodgment (31%).
- Significant complications included pulmonary aspiration (11%) and bleeding (3%).
- 30-day mortality was 19%, primarily due to underlying conditions.
Conclusions:
- Current PEJ techniques and tube-related issues limit procedural usefulness.
- Technological advancements and routine post-procedure radiographs are recommended.
- Newer techniques for improved distal small intestinal placement require evaluation.