Abstract
Objective: To describe a novel technique for the prevention of recurrent percutaneous endoscopic gastrostomy-jejunostomy (PEG-J) tube dislodgements and assess its feasibility and efficacy. This technique utilizes endoscopic suturing to secure the PEG-J tube to the gastric wall. Methods: This was a retrospective analysis of consecutive cases of recurrent PEG-J tube dislodgements referred to a single endoscopist between June 2016 and June 2017, using an endoscopic suturing system to secure the PEG-J tube directly to the gastric wall. Technical success rates, the procedure time and related adverse events were analyzed. Results: There were five patients in total (three females). The procedure was technically successful in all patients. There were no procedure-related adverse events. The mean duration of follow-up was 7.8 ± 5.1 months. Two patients had accidental dislodgement at 8.5 and 12 months, respectively. There were no other unintended dislodgements. Conclusion: Endoscopic suturing with internal fixation of PEG-J tube is a safe and feasible approach to manage recurrent unintended dislodgements.
Original language | English (US) |
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Pages (from-to) | 170-176 |
Number of pages | 7 |
Journal | Journal of Digestive Diseases |
Volume | 19 |
Issue number | 3 |
DOIs | |
State | Published - Mar 2018 |
Keywords
- PEG
- PEG-J tube
- dislodgement
- endoscopic suturing
ASJC Scopus subject areas
- Gastroenterology