Int J Gastrointest Interv.  2021 Apr;10(2):54-58. 10.18528/ijgii210009.

Recent update of percutaneous radiologic jejunostomy

Affiliations
  • 1Department of Radiology, Duke University Medical Center, Durham, NC, USA
  • 2Department of Radiology and Research Institute of Radiology, Asan Medical Center, Seoul, Korea

Abstract

Although percutaneous radiologic jejunostomy has not been widely accepted as a primary insertion technique due to the technical difficulty for inexperienced operators, it may be a crucial procedure for patients with previous gastrectomy or an otherwise inaccessible stomach, particularly in patients who are not candidates for a surgical jejunostomy. Targeting the appropriate target jejunal loop and affixing the bowel with a t-fastener anchor are the most important and challenging technical steps. Technical success rate ranged from 92% to 100% based on 19 to 106 patients in several representative reports, with major complications ranging from 3.9% to 13.0%.

Keyword

Enteral nutrition; Enterostomy; Jejunostomy
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