A novel ballooned-tip percutaneous endoscopic gastrojejunostomy tube: a pilot study - 30/06/13
Abstract |
Background |
The tip of currently available percutaneous endoscopic gastrojejunostomy (PEGJ) tubes frequently migrates back into the stomach.
Objective |
To study the safety of a novel, ballooned-tip, PEGJ tube and assess the risk of retrograde migration into the stomach within 3 weeks of placement.
Design |
Prospective clinical study (NCT01551095).
Setting |
Tertiary-care center.
Patients |
Seven patients who required post-pyloric feeding were included.
Intervention |
Placement of PEGJ feeding tubes.
Main Outcome Measurements |
Position of the PEGJ, abdominal radiograph findings, adverse events.
Results |
Seven patients underwent placement of self-propelled PEGJ tubes during the study period. Technical success was achieved in all patients (100%). All procedures were rated as technically simple, and jejunostomy tubes were placed in <5 minutes during all procedures. Abdominal radiographs showed that the jejunostomy tubes were in the jejunum in all 7 patients at both 1 and 3 weeks after tube placement.
Limitations |
Small number of patients and short follow-up.
Conclusion |
Ballooned-tip PEGJ feeding tubes were safe and easy to place. The presence of the balloon prevented migration into the stomach. Ballooned-tip PEGJ tubes have the potential to eliminate the need for hospital readmission and repeat endoscopies for retrograde tube migration, and this may result in large systemic cost savings.
Le texte complet de cet article est disponible en PDF.Abbreviation : PEGJ
Plan
| DISCLOSURE: M. Khashab is a consultant for Boston Scientific. No other financial relationships relevant to this publication were disclosed. |
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| If you would like to chat with an author of this article, you may contact Dr Khashab at mkhasha1@jhmi.edu. |
Vol 78 - N° 1
P. 154-157 - juillet 2013 Retour au numéro
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