The use of direct percutaneous endoscopic jejunostomies Meeting Abstract
| Authors: | Latkany, L. M.; Bloch, A. S.; Shike, M.; Gerdes, H. |
| Abstract Title: | The use of direct percutaneous endoscopic jejunostomies |
| Meeting Title: | 78th Annual Meeting of the American Dietetic Association |
| Abstract: | Direct percutaneous endoscopic jejunostomies (DPEJ) were evaluated to determine feasibility of technique, nutrition related outcomes and length of tube use in a cancer population. DPEJ is a technique using a tube placed directly into a proximal jejunual loop, pulling anteriorly with the endoscope and discreetly transluminating the jejunum. Patients were followed for duration of tube use. Results for the period of 1991-1995 follow: In 127 patients, (103 inpatients, 24 outpatients), in whom the technique was attempted, DPEJ's were successfully placed in 122 (96%), while 5 (4%) could not be placed for technical reasons. Of the successful placements 115 were used for feeding and 7 for drainage. Indications for the procedure were: gastric outlet obstruction (37%), recurrent or potential aspiration (35%), anorexia (12%), small bowel obstruction (9%), gastroesophageal anastomotic leak (4%), and gastroparesis (3%). There were 4 severe complications (abdominal bleeding, abdominal abscess, jejunal perforation, and colonic perforation), but no deaths occurred as a result of the procedure. Eighty-two males and 45 females, with a mean age of 64 ± 12 years were given DPEJ's. At the time of procedure mean weight loss was 15% of usual body weight and mean po intake was approximately 370 Kcal. In the 92 patients for which follow-up data was available, the mean period of DPEJ utilization was 114 ± 169 days: reasons for ending tube utilization were death (78%) or adequate po intake (22%). Method of feeding delivery was predominantly by pump (97%), with (3%) using gravity. Mean formula caloric intake at follow-up was 89% of the caloric goal determined by 30-40 Kcal/kg of baseline weight. An increase of 2% mean body weight and 33% mean po intake occurred in this DPEJ population. These results suggest that DPEJ can be placed safely and may be a viable procedure for achieving nutritional goals in patients where jejunal feedings are indicated. © 1995 American Dietetic Association. |
| Journal Title: | Journal of the American Dietetic Association |
| Volume: | 95 |
| Issue: | 9 Suppl. |
| Meeting Dates: | 1995 Oct 30-Nov 2 |
| Meeting Location: | Chicago, IL |
| ISSN: | 0002-8223 |
| Publisher: | Amer Dietetic Assoc |
| Date Published: | 1995-09-01 |
| Start Page: | A87 |
| Language: | English |
| DOI: | 10.1016/s0002-8223(95)00653-2 |
| PROVIDER: | scopus |
| PUBMED: | 7642884 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 28 August 2018 -- Source: Scopus |
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