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Related Experiment Videos

Direct percutaneous jejunostomy: techniques and applications--ten years experience

C Cope1, A G Davis, R A Baum

  • 1Department of Radiology, Hospital University of Pennsylvania, University of Pennsylvania Medical Center, Philadelphia 19104, USA.

Radiology
|December 9, 1998
PubMed
Summary

Direct fluoroscopically guided percutaneous jejunostomy is a safe and effective method for alimentation and treating bowel and biliary obstruction. This minimally invasive technique shows favorable success and complication rates compared to surgical or endoscopic approaches.

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Area of Science:

  • Minimally Invasive Gastrointestinal Procedures
  • Interventional Radiology
  • Surgical Gastroenterology

Background:

  • Percutaneous jejunostomy offers an alternative to traditional surgical or endoscopic methods for enteral feeding and managing gastrointestinal issues.
  • Fluoroscopic guidance enhances precision and safety in percutaneous procedures.
  • Experience with percutaneous jejunostomy over a decade provides valuable insights into its efficacy and safety profile.

Purpose of the Study:

  • To evaluate the 10-year experience with direct fluoroscopically guided percutaneous jejunostomy.
  • To assess the technical success and complication rates of this technique for various indications.
  • To highlight the utility of percutaneous jejunostomy in managing specific gastrointestinal conditions.

Main Methods:

Related Experiment Videos

  • Percutaneous jejunostomy was performed in 62 patients, many with prior abdominal surgery.
  • Procedures included creation of new or replacement jejunostomies for alimentation (n=41).
  • Jejunostomy was also utilized for interventional biliary/intestinal procedures (n=13) and retrograde gastroesophageal drainage (n=8).

Main Results:

  • High technical success rates were achieved: 95% for new feeding jejunostomy and 81% for replacement.
  • Successful facilitation of drainage, dilation, stone extraction, and recanalization in all 13 interventional cases.
  • Effective replacement of nasogastric suction for retrograde gastroesophageal drainage in all eight patients, with no major morbidity or mortality.

Conclusions:

  • Percutaneous jejunostomy demonstrates favorable technical success and complication rates compared to surgical or endoscopic interventions.
  • This technique is a valuable, albeit underutilized, approach for managing bowel and biliary obstruction.
  • Fluoroscopically guided percutaneous jejunostomy is a safe and effective option for enteral access and therapeutic interventions.