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- Title
Short- and long-term outcomes from percutaneous endoscopic gastrostomy with jejunal extension.
- Authors
Ridtitid, Wiriyaporn; Lehman, Glen; Watkins, James; Mchenry, Lee; Fogel, Evan; Sherman, Stuart; Coté, Gregory; Lehman, Glen A; Watkins, James L; Fogel, Evan L; Coté, Gregory A
- Abstract
<bold>Background: </bold>There is a paucity of data regarding the safety and efficacy of percutaneous endoscopic gastrostomy with jejunal extension (PEG-J). We evaluated adverse events related to PEG-J and determined the clinical impact of PEG-J in those with chronic pancreatitis (CP).<bold>Methods: </bold>This cohort study included all patients who underwent PEG-J placement in a tertiary-care academic medical center between 2010 and 2012. Main outcome measurements were (1) short- and long-term complications related to PEG-J and (2) changes in weight and hospitalizations during the 12-month period before and after PEG-J in the CP subgroup.<bold>Results: </bold>Of 102 patients undergoing PEG-J placement, the overall technical success rate was 97 %. During a median follow-up period of 22 months (1-46 months, n = 90), at least one tube malfunction occurred in 52/90 (58 %; 177 episodes) after a median of 53 days (3-350 days), requiring a median of two tube replacements. Short-term (<30 days) tube malfunction occurred in 28/90 (31 %) and delayed in 24/90 (27 %); these included dislodgement (29 %), clogging (26 %) and kinking (14 %). In the CP subgroup (n = 58), mean body weight (kg) (70 vs. 71, p = 0.06) and body mass index (kg/m2, 26 vs. 27, p = 0.05) increased post-PEG-J. Mean number of hospitalizations (5 vs. 2, p < 0.0001) and inpatient days per 12 months (22 vs. 12, p = 0.005) decreased.<bold>Conclusions: </bold>While we observed no major complications related to PEG-J, half of patients had at least one episode of tube malfunction. In the CP subgroup, jejunal feeding via PEG-J significantly reduced the number of hospitalizations and inpatients days, while improving nutritional parameters.
- Subjects
PERCUTANEOUS endoscopic gastrostomy; JEJUNOILEAL bypass; CHRONIC pancreatitis; BODY mass index; HOSPITAL care; INPATIENT care; PATIENTS; PHYSIOLOGY; JEJUNUM surgery; PANCREATITIS; ENTERAL feeding; GASTROSTOMY; LONGITUDINAL method; HEALTH outcome assessment; RESEARCH funding; SURGICAL complications; RETROSPECTIVE studies; ACUTE diseases; ENDOSCOPIC gastrointestinal surgery; EQUIPMENT &; supplies; SURGERY
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2017, Vol 31, Issue 7, p2901
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-016-5301-3