353 results match your criteria Percutaneous Gastrostomy and Jejunostomy

EUS-guided percutaneous endoscopic jejunostomy in cases not suitable for conventional gastrostomy: after bariatric (SADI-S) and cancer surgery.

Endoscopy 2021 Mar 15. Epub 2021 Mar 15.

Endoscopy Unit, Digestive Diseases Department, Hospital Universitari de Bellvitge, Bellvitge Biomedical Research Institute (IDIBELL), University of Barcelona, Catalonia, Spain.

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Seeding of Gastrostomy Tube Site in Patient with Squamous Cell Carcinoma of the Tongue: A Case Report.

Nutr Clin Pract 2020 Dec 8. Epub 2020 Dec 8.

Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, Minnesota, USA.

Enteral nutrition (EN) is a widely used therapeutic tool to provide nutrition support for patients with various clinical conditions, including different types of cancer. Head and neck cancers, often complicated by dysphagia, are among leading indications for enteral feeding. Percutaneous endoscopic gastrostomy (PEG) and percutaneous endoscopic jejunostomy (PEJ) tubes are typically used to deliver EN. Read More

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December 2020

Prognostic outcomes after direct percutaneous endoscopic jejunostomy in elderly patients: comparison with percutaneous endoscopic gastrostomy.

Gastrointest Endosc 2020 Dec 29. Epub 2020 Dec 29.

Department of Internal Medicine, Nishimino Kosei Hospital, Gifu Seino Medical Center, Gifu, Japan.

Background And Aims: Direct percutaneous endoscopic jejunostomy (DPEJ) is an alternative method of enteral feeding to percutaneous endoscopic gastrostomy (PEG). Although long-term outcomes of PEG have been reported, little is known regarding the outcomes of DPEJ.

Methods: A retrospective cohort study was conducted including 115 and 651 consecutive attempts of DPEJ and PEG, respectively, in a total of 766 elderly patients between April 2004 and March 2019. Read More

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December 2020

Endoscopic management of enteral tubes in adult patients - Part 1: Definitions and indications. European Society of Gastrointestinal Endoscopy (ESGE) Guideline.

Endoscopy 2021 Jan 1;53(1):81-92. Epub 2020 Dec 1.

Department of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, The Netherlands.

ESGE recommends considering the following indications for enteral tube insertion: (i) clinical conditions that make oral intake impossible (neurological conditions, obstructive causes); (ii) acute and/or chronic diseases that result in a catabolic state where oral intake becomes insufficient; and (iii) chronic small-bowel obstruction requiring a decompression gastrostomy.Strong recommendation, low quality evidence.ESGE recommends the use of temporary feeding tubes placed through a natural orifice (either nostril) in patients expected to require enteral nutrition (EN) for less than 4 weeks. Read More

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January 2021

Endoscopic Enteral Access.

Surg Clin North Am 2020 Dec 10;100(6):1091-1113. Epub 2020 Oct 10.

General Surgery, Department of Surgery, Houston Methodist Hospital, 6550 Fannin Street, Smith Tower 1661, Houston, TX 77030, USA.

Various approaches for enteral access exist, but because there is no single best approach it should be tailored to the needs of the patient. This article discusses the various enteral access techniques for nasoenteric tubes, gastrostomy, gastrojejunostomy, and direct jejunostomy as well as their indications, contraindications, and pitfalls. Also discussed is enteral access in altered anatomy. Read More

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December 2020

Enteral Feeding: Percutaneous Endoscopic Gastrostomies, Tubes, and Formulas.

Adv Surg 2020 09 17;54:231-249. Epub 2020 Jun 17.

Department of Surgery, Penn State Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, USA. Electronic address:

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September 2020

Bevacizumab does not increase risk of perforation in patients undergoing percutaneous endoscopic gastrostomy or jejunostomy placement.

Surg Endosc 2020 Jun 24. Epub 2020 Jun 24.

Gastroenterology, Hepatology and Nutrition Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.

Introduction: Bevacizumab is a humanized anti-vascular endothelial growth factor monoclonal antibody used in the treatment of cervical cancer, ovarian cancer, colorectal cancer, lung cancer, renal cell cancer, and recurrent glioblastomas. Its approval by US FDA was issued with a black box warning that its use has been associated with a risk of gastrointestinal (GI) tract perforation and that it should be discontinued in patients who have experienced such. The reported incidence of GI perforation in those receiving bevacizumab is as high as 3%. Read More

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Nutritional Support of Cancer Patients without Oral Feeding: How to Select the Most Effective Technique?

GE Port J Gastroenterol 2020 Apr 7;27(3):172-184. Epub 2019 Oct 7.

Gastroenterology Department, Instituto Português de Oncologia Francisco Gentil, Porto, Portugal.

Background: Digestive tumours are among the leading causes of morbidity and mortality. Many cancer patients cannot maintain oral feeding and develop malnutrition. The authors aim to: review the endoscopic, radiologic and surgical techniques for nutritional support in cancer patients; address the strategies for nutritional intervention according to the selected technique; and establish a decision-making algorithm to define the best approach in a specific tumour setting. Read More

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Endoscopic ultrasound-guided percutaneous endoscopic gastrostomy.

Dig Endosc 2020 Sep 27;32(6):984-988. Epub 2020 May 27.

Endoscopy Unit, Department of Gastroenterology, Instituto de Investigación Sanitaria y Biomédica de Alicante, ISABIAL, Hospital General Universitario de Alicante, Alicante, Spain.

Percutaneous endoscopic gastrostomy (PEG) is the method of choice for feeding and nutritional support in patients with a normal gastrointestinal function who require long-term enteral nutrition. We report our experience regarding an alternative endoscopic ultrasound (EUS)-guided PEG technique. A retrospective clinical experience case series study was conducted from January 2019 to November 2019 at a tertiary center. Read More

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September 2020

Safety of Prophylactic Gastrostomy Tube Placement and Gastrostomy Tube Usage in Patients Treated by Radio(chemo)therapy for Head and Neck Cancer.

Anticancer Res 2020 Feb;40(2):1167-1173

Department of Otolaryngology, Head and Neck Surgery, University Hospital Leipzig, Leipzig, Germany

Background: A gastrostomy feeding tube is one method for long-term feeding support in patients undergoing radio(chemo)therapy for head and neck cancer (HNC). The aim of this study was to analyze the safety of prophylactic gastrostomy tube placement and usage in HNSCC patients.

Patients And Methods: HNC patients undergoing percutaneous endoscopic gastrostomy (PEG) or radiological percutaneous gastrostomy (RPG) tube placement prior to radio(chemo)therapy from 2010-2014 were retrospectively reviewed regarding procedural and long-term gastrostomy tube-related complications, usage of PEG/RPG, weight profile, pretreatment and posttreatment body mass index. Read More

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February 2020

Percutaneous endoscopic gastrostomy with jejunal extension for a post-esophagectomy gastric conduit.

Clin J Gastroenterol 2020 Aug 24;13(4):501-505. Epub 2020 Jan 24.

Department of Gastroenterological Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo, 105-8470, Japan.

Percutaneous endoscopic gastrostomy (PEG) is a minimally invasive procedure providing nutritional benefits to malnourished patients. Although a past history of celiotomy is not a contradiction for PEG construction, this procedure is rarely undertaken in post-esophagectomy patients, for two reasons: anatomically limited gastric spaces and high susceptibility to pulmonary aspiration. To overcome these limitations, we developed an original method of introducing PEG with jejunal extension for esophagectomized patients with retrosternal gastric pull-up reconstruction. Read More

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Successful minimally invasive two-stage operation for rare synchronous cancers of the esophagus and the pancreatic head: A case report.

Asian J Endosc Surg 2020 Jul 9;13(3):410-414. Epub 2019 Dec 9.

Department of Surgery, Keio University, School of Medicine, Tokyo, Japan.

We report the case of a 70-year-old woman with synchronous advanced esophageal cancer and pancreatic head cancer. To reduce the surgical invasiveness, we performed a two-stage operation that included percutaneous endoscopic gastrostomy and minimally invasive esophagectomy. In the first stage, we performed a percutaneous endoscopic gastrostomy, a thoracoscopic esophagectomy with cervical and mediastinal lymph node dissection, and an esophagostomy without a laparotomy. Read More

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Fluoroscopic-guided nasogastric tube placement in patients with advanced head and neck cancers.

J Formos Med Assoc 2020 Aug 21;119(8):1320-1324. Epub 2019 Nov 21.

Department of Medical Imaging, National Taiwan University Cancer Center, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan. Electronic address:

Background/purpose: Enteral feeding, mainly by using a nasogastric tube (NGT), is generally favored over parenteral supplementation in head and neck cancer (HNC) patients with dysphagia. However, the placement of a NGT, either blindly or by endoscopy, is technically challenging in these patients due to the obstructive mass and the altered regional anatomy. The aim of this retrospective study was to estimate the clinical feasibility and safety of fluoroscopic-guided NGT placement in patients with advanced HNC. Read More

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Percutaneous Transesophageal Access for Enteral Feeding Tube Placement.

Cardiovasc Intervent Radiol 2020 Jan 21;43(1):155-161. Epub 2019 Aug 21.

Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.

Background: The purpose of this study was to describe our experience with percutaneous transesophageal enteral feeding tube placement when percutaneous gastrostomy tube placement is not feasible.

Materials And Methods: A retrospective review was performed from July 2018 to March 2019. Thirteen patients (9 females, 4 males), (age range 22-80 years; mean age, 55 years; mean body mass index of 24. Read More

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January 2020

Delayed Diagnosis of Buried Bumper Syndrome When Only the Jejunostomy Extension is Used in a Percutaneous Endoscopic Gastrostomy-jejunostomy Levodopa-carbidopa Intestinal Gel Delivery System.

Cureus 2019 Apr 30;11(4):e4568. Epub 2019 Apr 30.

Gastroenterology, McLaren Hospital, Flint, USA.

Direct intrajejunal levodopa-carbidopa intestinal gel (LCIG) administered through a percutaneous endoscopic gastrostomy (PEG) with a jejunal extension tube (PEG-J) is an FDA-approved modality for treatment of patients with advanced Parkinson's disease (PD). Buried bumper syndrome (BBS) is a rare complication associated with PEG tubes inserted for drug administration or enteral feeding. The syndrome is diagnosed endoscopically revealing burial of the internal bumper in the gastric wall, causing numerous serious complications. Read More

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Enteral feeding tubes: an overview of nursing care.

Liz Anderson

Br J Nurs 2019 Jun;28(12):748-754

Lead Nurse for Nutrition, Buckinghamshire Healthcare NHS Trust.

This article provides a brief overview of the most common types of enteral feeding tubes, their placement and the problems that may be encountered in the care of patients with tubes in situ. It is important that nurses are aware of safety aspects around the insertion and maintenance of feeding tubes, and acquaint themselves with safety guidelines and local policies to ensure that patients do not come to any harm. They must also ensure that they have appropriate training to make certain that they are competent. Read More

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Technique and outcome of percutaneous endoscopic transgastric jejunostomy for continuous infusion of levodopa-carbidopa intestinal gel for treatment of Parkinson's disease.

Scand J Gastroenterol 2019 Jun 24;54(6):787-792. Epub 2019 May 24.

Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University School of Medicine , Tokyo , Japan.

A new method of drug delivery via the small bowel, continuous infusion of levodopa-carbidopa intestinal gel (LCIG), for patients with advanced Parkinson's disease (PD) has been developed and shown to improve patients' quality of life. Levodopa is infused directly and continuously into the proximal jejunum via a percutaneous endoscopic transgastric jejunostomy (PEG-J) tube that is connected to a portable infusion pump. The aim of this study was to evaluate the safety and outcomes of our PEG-J technique performed in advance of LCIG therapy in patients with advanced PD. Read More

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Endoscopic treatment of refractory external pancreatic fistulae with disconnected pancreatic duct syndrome.

Pancreatology 2019 Jun 11;19(4):608-613. Epub 2019 May 11.

Departments of Gastroenterology, and Surgery, Post Graduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh, 160012, India.

Background: External pancreatic fistulae (EPF) developing in setting of disconnected pancreatic duct syndrome (DPDS) are associated with significant morbidity and surgery is the only effective treatment.

Aim: To describe safety and efficacy of various endoscopic including endoscopic ultrasound (EUS) guided drainage techniques for resolving EPF in DPDS.

Methods: Retrospective analysis of data base of 18 patients (15 males; mean age: 37. Read More

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The Effect of Enteral Tube Feeding on Patients' Health-Related Quality of Life: A Systematic Review.

Nutrients 2019 May 10;11(5). Epub 2019 May 10.

The School of Nursing, Soochow University, Suzhou 215006, China.

Patients with functional gastrointestinal tract who are unable to meet their nutritional requirements may benefit from the use of enteral nutrition via feeding tubes which could be nasogastric, percutaneous endoscopic gastrostomy and jejunostomy. Although enteral tube feeding has been shown to promote nutritional status, improve wound healing, and enhance patients' quality of life (QoL), evidence of tube and feed complications and reduced QoL has also been reported. Despite the increasing prevalence of patients on enteral tube feeding, no systematic review examining the role of enteral tube feeding on patients' QoL appears to have been published. Read More

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Nutrition Management in Patients With Chronic Gastrointestinal Motility Disorders: A Systematic Literature Review.

Nutr Clin Pract 2020 Apr 15;35(2):219-230. Epub 2019 Apr 15.

University of Sydney, School of Life and Environmental Sciences, Sydney, Australia.

Background: The aim of this study was to systematically review effects of nutrition interventions on outcomes in patients with chronic gastrointestinal (GI) motility disorders. There is currently a lack of evidence-based guidelines for nutrition management in this group, likely a result of the rarity of the conditions.

Methods: A systematic review of all study types to evaluate current evidence-based nutrition interventions was performed using Medline, Embase, and CINAHL databases. Read More

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[Analysis of PEG-J associated complications in 14 adult patients treated with levodopa-carbidopa intestinal gel].

Rinsho Shinkeigaku 2019 Mar 28;59(3):153-156. Epub 2019 Feb 28.

Department of Neurology, Graduate School of Medicine, Osaka University.

We analyzed 14 patients in our hospital, who underwent levodopa-carbidopa intestinal gel (LCIG) treatment through a percutaneous endoscopic gastrojejunostomy (PEG-J). The PEG-J related complications were observed in 10 patients (71.4%). Read More

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Non-occlusive mesenteric ischemia associated with enteral feeding after esophagectomy for esophageal cancer: report of two cases and review of the literature.

Surg Case Rep 2019 Feb 20;5(1):36. Epub 2019 Feb 20.

Division of Esophageal Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.

Background: Non-occlusive mesenteric ischemia (NOMI) is a rare but life-threatening complication of early postoperative enteral feeding. We herein report two patients who developed NOMI during enteral feeding after esophagectomy.

Case Presentation: In case 1, a 75-year-old man with no medical history was diagnosed with multiple primary cancers of the esophagus, stomach, and kidney. Read More

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February 2019

Transnasal stent-assisted targeting technique for percutaneous jejunostomy placement in patients with hiatal hernias.

Abdom Radiol (NY) 2019 05;44(5):1894-1900

Division of Interventional Radiology, Department of Radiology, University of California Los Angeles, 757 Westwood Plaza, Los Angeles, CA, 90095, USA.

Purpose: To report the transnasal stent-assisted targeting technique for percutaneous jejunostomy placement in patients with hiatal hernias.

Materials And Methods: Four patients, including three (75%) females and one (25%) male, with mean age of 77.5 years (range 73-78 years), and with a hiatal hernia and intrathoracic stomach precluding gastrostomy placement and loop snare placement into the mid-jejunum underwent the transnasal stent-assisted targeting technique for percutaneous jejunostomy placement. Read More

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A minimally invasive approach with a 3d imaging system for the treatment of esophageal perforation due to Boerhaave syndrome.

Ann Ital Chir 2018 Dec 19;7. Epub 2018 Dec 19.

Boerhaave's syndrome is a rare life-threatening condition that requires urgent surgical management. There are various methods of managing it, with the main principles of limiting sepsis, draining the area and maintaining nutrition. Although the gold standard is open thoracotomy and/or laparotomy, mostly in patients with sepsis, we present a case of a 53-year-old man treated with a combination of laparoscopic suture (3D imaging system) of the oesophageal perforation site, decompressive percutaneous endoscopic gastrostomy and feeding jejunostomy. Read More

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December 2018

Percutaneous gastric tube placement: Comparison of trans-abdominal and trans-oral approach in patients with chronic ascites.

Diagn Interv Imaging 2019 Jan 13;100(1):25-29. Epub 2018 Sep 13.

University of Minnesota, Department of Radiology, 420, Delaware St SE, 55455 Minneapolis, MN, United States. Electronic address:

Purpose: The purpose of this study was to compare the trans-abdominal (TA) and trans-oral (TO) approaches for fluoroscopic-guided gastrostomy tube placement in patients with chronic ascites.

Materials And Methods: A 10-year review of clinical imaging and medical records at a single institution identified 29 patients with chronic recurrent ascites who underwent gastrostomy (GT) or gastro-jejunostomy tube (GJT) placement. In 22 patients (18 women, 4 men) aged from 22 to 76 years of age (mean age, 57. Read More

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January 2019

Endoscopic drainage of obstructed biliary system in altered gastrointestinal anatomy: An experience from a tertiary center in India.

Indian J Gastroenterol 2018 Jul 11;37(4):299-306. Epub 2018 Sep 11.

Departments of Hepatology and Advanced Endoscopy, Institute of Liver and Biliary Sciences, D-1, Acharya Shree Tulsi Marg, Vasant Kunj, New Delhi, 110 070, India.

Introduction: With the advances in imaging and endoscopic technology, scope of endoscopic interventions in biliary obstruction associated with altered gastrointestinal (GI) anatomy has increased. We analyzed our experience on single-balloon enteroscopy and endoscopic ultrasound (EUS)-guided ERCP (SBE-ERCP) and EUS-guided hepatogastrostomy (EUS-HG) in the presence of altered GI anatomy.

Methods: Data of 15 patients (SBE-ERCP in 12, and EUS-HG in 3) over a period of 1 year (April 2016-March 2017) and followed up for 90 to 270 days were retrospectively analyzed. Read More

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