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Direct Percutaneous Endoscopic Jejunostomy : High Completion Rates with Selective Use of a Long Drainage Access Needle
Joint Authors
Source
Diagnostic and Therapeutic Endoscopy
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-06-16
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Direct percutaneous endoscopic jejunostomy (DPEJ) insertion is a useful technique for artificial nutritional support in selected patients.
However, it is technically difficult and most case series report significant procedural failure rates.
Methods.
We reviewed our case series of DPEJ insertions, done in a tertiary care referral centre from 2002 to 2008.
Patients were selected for DPEJ if they required artificial enteric nutritional support but were unsuitable for endoscopic gastrostomy.
Our technique includes selective usage of a long drainage access needle for gut luminal puncture, selective fluoroscopic guidance and selective usage of general anaesthesia.
Results.
Of 40 consecutive patients undergoing attempted DPEJ insertion, 39/40 (97.5%) had a successful procedure.
Sixteen cases (40%) required the drainage access needle for completion, nineteen cases (47.5%) were done with fluoroscopy, and five cases (12.5%) were done under general anaesthesia.
There were no procedural complications.
Conclusions.
This technique led to a high completion rate and low complication rate.
With appropriate care and expertise, DPEJ insertion is reliable and safe.
American Psychological Association (APA)
Moran, G. W.& Fisher, N. C.. 2009. Direct Percutaneous Endoscopic Jejunostomy : High Completion Rates with Selective Use of a Long Drainage Access Needle. Diagnostic and Therapeutic Endoscopy،Vol. 2009, no. 2009, pp.1-6.
https://search.emarefa.net/detail/BIM-478299
Modern Language Association (MLA)
Moran, G. W.& Fisher, N. C.. Direct Percutaneous Endoscopic Jejunostomy : High Completion Rates with Selective Use of a Long Drainage Access Needle. Diagnostic and Therapeutic Endoscopy No. 2009 (2009), pp.1-6.
https://search.emarefa.net/detail/BIM-478299
American Medical Association (AMA)
Moran, G. W.& Fisher, N. C.. Direct Percutaneous Endoscopic Jejunostomy : High Completion Rates with Selective Use of a Long Drainage Access Needle. Diagnostic and Therapeutic Endoscopy. 2009. Vol. 2009, no. 2009, pp.1-6.
https://search.emarefa.net/detail/BIM-478299
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-478299