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Comparison of primary jejunostomy tubes versus gastrojejunostomy tubes for percutaneous enteral nutrition.

Publication ,  Journal Article
Kim, CY; Engstrom, BI; Horvath, JJ; Lungren, MP; Suhocki, PV; Smith, TP
Published in: J Vasc Interv Radiol
December 2013

PURPOSE: To evaluate technical success and long-term outcomes of percutaneous primary jejunostomy tubes for postpyloric enteral feeding compared with percutaneous gastrojejunostomy (GJ) tubes. MATERIALS AND METHODS: Over a 25-month interval, 41 consecutive patients (26 male; mean age, 55.9 y) underwent attempted fluoroscopy-guided direct percutaneous jejunostomy tube insertion. Insertions at previous jejunostomy tube sites were excluded. The comparison group consisted of all primary GJ tube insertions performed over a 12-month interval concomitant with the jejunostomy tube interval (N = 169; 105 male; mean age, 59.4 y). Procedural, radiologic, and clinical data were retrospectively reviewed. Intervention rates were expressed as events per 100 catheter-days. RESULTS: The technical success rate for percutaneous jejunostomy tube insertion was 96%, versus 93% for GJ tubes (P = .47). Mean fluoroscopy times were similar for jejunostomy and GJ tubes (9.8 vs 10.0 min, respectively; P value not significant). Jejunostomy tubes exhibited a lower rate of catheter dysfunction than GJ tubes, with catheter exchange rates of 0.24 versus 0.93, respectively, per 100 catheter-days (P = .045). GJ tube tip retraction into the stomach occurred in 9.5% of cases, at a rate of 0.21 per 100 catheter-days. Intervention rates related to leakage were 0.19 and 0.03 for jejunostomy and GJ tubes, respectively (P < .01). Jejunostomy and GJ tubes exhibited similar rates of catheter exchange for occlusion and replacement as a result of inadvertent removal. No major complications were encountered in either group. CONCLUSIONS: Percutaneous insertion of primary jejunostomy tubes demonstrated technical success and complication rates similar to those of GJ tubes. Jejunostomy tubes exhibited a lower dysfunction rate but a higher leakage rate compared with GJ tubes.

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Published In

J Vasc Interv Radiol

DOI

EISSN

1535-7732

Publication Date

December 2013

Volume

24

Issue

12

Start / End Page

1845 / 1852

Location

United States

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Time Factors
  • Risk Factors
  • Retrospective Studies
  • Radiography, Interventional
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Jejunostomy
 

Citation

APA
Chicago
ICMJE
MLA
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Kim, C. Y., Engstrom, B. I., Horvath, J. J., Lungren, M. P., Suhocki, P. V., & Smith, T. P. (2013). Comparison of primary jejunostomy tubes versus gastrojejunostomy tubes for percutaneous enteral nutrition. J Vasc Interv Radiol, 24(12), 1845–1852. https://doi.org/10.1016/j.jvir.2013.08.012
Kim, Charles Y., Bjorn I. Engstrom, Jeffrey J. Horvath, Matthew P. Lungren, Paul V. Suhocki, and Tony P. Smith. “Comparison of primary jejunostomy tubes versus gastrojejunostomy tubes for percutaneous enteral nutrition.J Vasc Interv Radiol 24, no. 12 (December 2013): 1845–52. https://doi.org/10.1016/j.jvir.2013.08.012.
Kim CY, Engstrom BI, Horvath JJ, Lungren MP, Suhocki PV, Smith TP. Comparison of primary jejunostomy tubes versus gastrojejunostomy tubes for percutaneous enteral nutrition. J Vasc Interv Radiol. 2013 Dec;24(12):1845–52.
Kim, Charles Y., et al. “Comparison of primary jejunostomy tubes versus gastrojejunostomy tubes for percutaneous enteral nutrition.J Vasc Interv Radiol, vol. 24, no. 12, Dec. 2013, pp. 1845–52. Pubmed, doi:10.1016/j.jvir.2013.08.012.
Kim CY, Engstrom BI, Horvath JJ, Lungren MP, Suhocki PV, Smith TP. Comparison of primary jejunostomy tubes versus gastrojejunostomy tubes for percutaneous enteral nutrition. J Vasc Interv Radiol. 2013 Dec;24(12):1845–1852.
Journal cover image

Published In

J Vasc Interv Radiol

DOI

EISSN

1535-7732

Publication Date

December 2013

Volume

24

Issue

12

Start / End Page

1845 / 1852

Location

United States

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Time Factors
  • Risk Factors
  • Retrospective Studies
  • Radiography, Interventional
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Jejunostomy