Fluoroscopically guided percutaneous jejunostomy: outcomes in 25 consecutive patients

Z. Q. Yang, J. H. Shin, H. Y. Song, J. H. Kwon, J. W. Kim, K. R. Kim, J. H. Kim

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Aim: To assess the feasibility and safety of fluoroscopically guided percutaneous jejunostomy. Material and methods: Between May 1999 and August 2006 percutaneous jejunostomy was attempted in 25 patients. A 5 F vascular catheter (n = 20) or a 7.5 F multifunctional coil catheter (n = 5) was used to insufflate the jejunum. The distended jejunum was punctured using a 17 G needle (n = 19) or a 21 G Chiba needle (n = 6) with the inserted catheter as a target. A 12 or 14 F loop feeding tube was inserted after serial dilations. The technical success, complications, 30-day mortality, and in-dwelling period of the feeding tube placement were evaluated. Results: The technical success rate was 92% (23/25). Technical failures (n = 2) resulted from the inability to insufflate the jejunum secondary to failure to pass the catheter through a malignant stricture at the oesophagojejunostomy site and thus subsequent puncture of the undistended jejunum failed, or failure to introduce the Neff catheter into the jejunum. Pericatheter leakage with pneumoperitoneum was a complication in three patients (12%) and was treated conservatively. The 30-day mortality was 13% (3/23); however, there was no evidence that these deaths were attributed to the procedure. Except for four patients who were lost to follow-up and two failed cases, 15 of the 19 jejunostomy catheters were removed because of patient death (n = 12) or completion of treatment (n = 3), with a mean and median in-dwelling period of 231 and 87 days, respectively. Conclusions: Fluoroscopically guided percutaneous jejunostomy is a feasible procedure with a high technical success and a low complication rate. In addition to a 17 G needle, a 21 G needle can safely be used to puncture the jejunum.

Original languageEnglish (US)
Pages (from-to)1061-1065
Number of pages5
JournalClinical Radiology
Volume62
Issue number11
DOIs
StatePublished - Nov 1 2007
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Yang, Z. Q., Shin, J. H., Song, H. Y., Kwon, J. H., Kim, J. W., Kim, K. R., & Kim, J. H. (2007). Fluoroscopically guided percutaneous jejunostomy: outcomes in 25 consecutive patients. Clinical Radiology, 62(11), 1061-1065. https://doi.org/10.1016/j.crad.2007.02.023