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Recent update of percutaneous radiologic jejunostomy

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초록

Although percutaneous radiologic jejunostomy has not been widely accepted as a primary insertion technique due to the technical difficulty for inexperienced operators, it may be a crucial procedure for patients with previous gastrectomy or an otherwise inaccessible stomach, particularly in patients who are not candidates for a surgical jejunostomy. Targeting the appropriate target jejunal loop and affixing the bowel with a t-fastener anchor are the most important and challenging technical steps. Technical success rate ranged from 92% to 100% based on 19 to 106 patients in several representative reports, with major complications ranging from 3.9% to 13.0%.

Abstract

Although percutaneous radiologic jejunostomy has not been widely accepted as a primary insertion technique due to the technical difficulty for inexperienced operators, it may be a crucial procedure for patients with previous gastrectomy or an otherwise inaccessible stomach, particularly in patients who are not candidates for a surgical jejunostomy. Targeting the appropriate target jejunal loop and affixing the bowel with a t-fastener anchor are the most important and challenging technical steps. Technical success rate ranged from 92% to 100% based on 19 to 106 patients in several representative reports, with major complications ranging from 3.9% to 13.0%.

참고문헌 (8)

  1. Itkin M, "Multidisciplinary practical guidelines for gastrointestinal access for enteral nutrition and decompression from the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, with endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE)", Gastroenterology, 141, pp.742~765 (2011)
  2. Han-Geurts IJ, "Laparoscopic feeding jejunostomy: a systematic review", Surg Endosc, 19, pp.951~957 (2005)
  3. Kim CY, "Jejunostomy tube insertion for enteral nutrition: comparison of outcomes after laparoscopic versus radiologic insertion", J Vasc Interv Radiol, 31, pp.1132~1138 (2020)
  4. Hu HT, "Fluoroscopically guided percutaneous jejunostomy with use of a 21-gauge needle: a prospective study in 51 patients", J Vasc Interv Radiol, 20, pp.1583~1587 (2009)
  5. Richard HM, "Percutaneous fluoroscopically guided jejunostomy placement", J Trauma, 65, pp.1072~1077 (2008)
  6. Yang ZQ, "Fluoroscopically guided percutaneous jejunostomy: outcomes in 25 consecutive patients", Clin Radiol, 62, pp.1061~1065 (2007)
  7. van Overhagen H, "US and fluoroscopic-guided percutaneous jejunostomy: experience in 49patients", J Vasc Interv Radiol, 11, pp.101~106 (2000)
  8. Kim CY, "Comparison of primary jejunostomy tubes versus gastrojejunostomy tubes for percutaneous enteral nutrition", J Vasc Interv Radiol, 24, pp.1845~1852 (2013)

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