Fluoroscopically Guided Percutaneous Jejunostomy with Use of a 21-gauge Needle: A Prospective Study in 51 Patients

Hong Tao Hu, Ji Hoon Shin, Ho Young Song, Jin Hyoung Kim, Hyun Ki Yoon, Dong Il Gwon, Gi Young Ko, Kyu Bo Sung

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Purpose: To assess the safety and clinical efficacy of fluoroscopically guided percutaneous jejunostomy with use of a 21-gauge needle and a single anchor technique in 51 patients. Materials and Methods: From November 2006 to January 2009, 51 consecutive patients (42 men and nine women; mean age, 63.7 years) underwent percutaneous jejunostomy under fluoroscopic guidance. A 7.5-F multifunctional coil catheter was used to insufflate the jejunum. The distended jejunum was punctured with a 21-gauge needle, with the inserted coil catheter as the target. A single anchor was used. The technical success, number of punctures, procedure time, complications, and follow-up data including 30-day mortality rate were evaluated. Results: The technical success rate was 100%, and the single anchor technique was used in all but one patient, in whom three anchors were used. The mean number of punctures was 1.7 (range, 1-4), and the mean procedure time was 14.8 minutes (range, 7-29 min). Peritonitis was a major complication in two patients (3.9%), who were treated by changing the catheters from 14 F to 16 F and performing percutaneous drainage procedures. Three minor complications were encountered: superficial cellulitis (n = 2) and severe puncture site pain (n = 1). The 30-day mortality rate was 5.9% (three of 51), although none of the deaths could be attributed to the jejunostomy procedures. Conclusions: Fluoroscopically guided percutaneous jejunostomy with use of a 21-gauge needle and the single anchor technique seems to be safe and effective, with high technical success and low complication rates.

Original languageEnglish (US)
Pages (from-to)1583-1587
Number of pages5
JournalJournal of Vascular and Interventional Radiology
Volume20
Issue number12
DOIs
StatePublished - Dec 1 2009
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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