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Direct percutaneous jejunostomy--an underutilized interventional technique?
- Source :
- Cardiovascular and interventional radiology. 31(2)
- Publication Year :
- 2007
-
Abstract
- Our aim in this study was to report our single-center experience with direct percutaneous jejunostomy over a 4-year period with regard to technical success rate, immediate and late complications, and patient tolerance of the procedure. Institutional records of 22 consecutive patients who underwent radiological insertion of a percutaneous jejunostomy for a variety of indications were reviewed. The proximal jejunum was punctured under either fluoroscopic or ultrasonic guidance, and following placement of retention sutures, a 10- to 12-Fr catheter inserted. There was a 100% technical success rate in placement involving a total of seven operators. The indications for placement were prior gastric resection, newly diagnosed resectable esophageal or gastric carcinoma, unresectable gastric carcinoma with outlet obstruction, and palliative drainage of bowel obstruction. Mean duration of follow-up was 100 days, and catheter placement 57.7 days. There were six minor early complications, consisting of loss of two retention anchors requiring repuncture, three cases of localized excessive postprocedural pain, and one failed relief of symptoms of small bowel obstruction. Four tubes developed late complications (two blocked, one catheter cracked, and one inadvertently pulled out). Three of the four were successfully replaced through the existing tracts. One patient subsequently developed a minor skin infection, while another developed late pericatheter leakage from ascites. We conclude that direct percutaneous jejunostomy is a valuable treatment modality applicable to a number of clinical scenarios, with a high technical success rate and low serious complication rate.
- Subjects :
- Adult
Male
medicine.medical_specialty
Esophageal Neoplasms
medicine.medical_treatment
Jejunostomy
Radiography, Interventional
Postoperative Complications
Stomach Neoplasms
Ascites
medicine
Fluoroscopy
Humans
Radiology, Nuclear Medicine and imaging
Digestive System Surgical Procedures
Ultrasonography, Interventional
Aged
Retrospective Studies
Aged, 80 and over
medicine.diagnostic_test
business.industry
Gastric Outlet Obstruction
Palliative Care
Middle Aged
medicine.disease
Surgery
Bowel obstruction
Percutaneous jejunostomy
Catheter
Patient tolerance
Treatment Outcome
Drainage
Female
Radiology
medicine.symptom
Cardiology and Cardiovascular Medicine
Catheter placement
business
Intestinal Obstruction
Subjects
Details
- ISSN :
- 1432086X
- Volume :
- 31
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Cardiovascular and interventional radiology
- Accession number :
- edsair.doi.dedup.....28985909bf6ad210e6093428a9348338