A novel ballooned-tip percutaneous endoscopic gastrojejunostomy tube: a pilot study

Short- and long-term outcomes from percutaneous endoscopic gastrostomy with jejunal extension

“…(3, 9) In addition, a pilot study (n=7) of a novel ballooned-tip PEG-J feeding tubes (GI Supply, Camp Hill, Pa) has been reported to eliminate the need for repeat endoscopies for tubes that recoil back into the stomach. (2) Although these data of newly emerging techniques demonstrated a high success rate (99%–100%) for jejunal tube placement, these required specific endoscopes and special feeding tubes that may not be available in most centers. We do not anticipate that unique deployment techniques will impact rates of tube malfunction thereafter.…”

“…(1) Various techniques for PEG-J placement and related adverse events have been reported. (2–9) However, these studies are limited by small sample size, variable deployment techniques, and short-term follow-up Although direct percutaneous endoscopic jejunostomy (D-PEJ) is believed to provide more stable jejunal access compared with PEG-J, establishing a D-PEJ tract is technically challenging and has a lower success rate (65%–73%) compared to PEG-J (90%–92%). (7, 8) Moreover, patients having D-PEJ may require a separate PEG for gastric decompression whereas a PEG-J tube provides feeding jejunal and gastric decompression ports in a single tract.…”

The PEG-Pedi-PEG technique: a novel method for percutaneous endoscopic gastrojejunostomy tube placement (with video)

“…Although it was successful in 7 patients, this new tube is not yet available on the market and authors stated larger studies and longer follow-up are required to confirm efficacy and safety. 5 In our case series, which used pediatric PEG tubes which are readily available, there were also no instances of retrograde tube migration. Jejunal extension tube occlusion, which is another commonly reported adverse effect in up to 35% of cases, 2 occurred in only a single one of our cases.…”

Enteral access in adults

“…These complications may require further endoscopic 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 intervention. Kim et al described a novel ballooned-tip PEG-J tube that is easy to place and avoids jejunal extension migration [40].…”