Endoscopic suturing for the management of recurrent dislodgment of percutaneous endoscopic gastrostomy-jejunostomy tube

Abhishek Agnihotri; Sindhu Barola; Christine Hill; Priya Mishra; Lea Fayad; Margo Dunlap; Robert A. Moran; Vikesh K. Singh; Anthony N. Kalloo; Mouen A. Khashab; Vivek Kumbhari

doi:10.1111/1751-2980.12581

Endoscopic suturing for the management of recurrent dislodgment of percutaneous endoscopic gastrostomy-jejunostomy tube

Abhishek Agnihotri, Sindhu Barola, Christine Hill, Priya Mishra, Lea Fayad, Margo Dunlap, Robert A. Moran, Vikesh K. Singh, Anthony N. Kalloo, Mouen A. Khashab, Vivek Kumbhari

Gastroenterology and Hepatology

Research output: Contribution to journal › Article › peer-review

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)
Pages (from-to)	170-176
Number of pages	7
Journal	Journal of Digestive Diseases
Volume	19
Issue number	3
DOIs	https://doi.org/10.1111/1751-2980.12581
State	Published - Mar 2018

Keywords

PEG
PEG-J tube
dislodgement
endoscopic suturing

ASJC Scopus subject areas

Gastroenterology

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10.1111/1751-2980.12581

Cite this

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title = "Endoscopic suturing for the management of recurrent dislodgment of percutaneous endoscopic gastrostomy-jejunostomy tube",

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.",

keywords = "PEG, PEG-J tube, dislodgement, endoscopic suturing",

author = "Abhishek Agnihotri and Sindhu Barola and Christine Hill and Priya Mishra and Lea Fayad and Margo Dunlap and Moran, {Robert A.} and Singh, {Vikesh K.} and Kalloo, {Anthony N.} and Khashab, {Mouen A.} and Vivek Kumbhari",

note = "Publisher Copyright: {\textcopyright} 2018 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd",

year = "2018",

month = mar,

doi = "10.1111/1751-2980.12581",

language = "English (US)",

volume = "19",

pages = "170--176",

journal = "Journal of Digestive Diseases",

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TY - JOUR

T1 - Endoscopic suturing for the management of recurrent dislodgment of percutaneous endoscopic gastrostomy-jejunostomy tube

AU - Agnihotri, Abhishek

AU - Barola, Sindhu

AU - Hill, Christine

AU - Mishra, Priya

AU - Fayad, Lea

AU - Dunlap, Margo

AU - Moran, Robert A.

AU - Singh, Vikesh K.

AU - Kalloo, Anthony N.

AU - Khashab, Mouen A.

AU - Kumbhari, Vivek

N1 - Publisher Copyright: © 2018 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd

PY - 2018/3

Y1 - 2018/3

N2 - 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.

AB - 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.

KW - PEG

KW - PEG-J tube

KW - dislodgement

KW - endoscopic suturing

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Endoscopic suturing for the management of recurrent dislodgment of percutaneous endoscopic gastrostomy-jejunostomy tube

Abstract

Keywords

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