{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T23:10:05Z","timestamp":1746659405608,"version":"3.40.5"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin intervent Radiol"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Direct percutaneous jejunostomy placement is an often underutilized procedure that can allow for supplemental enteral nutrition in a certain subset of patients, in which percutaneous gastrostomy is not technically feasible, or in patients who require post-pyloric feeding. Percutaneous jejunostomy catheter placement was first described in the 1980s; since that time there have been minimal case series on the procedural technique and outcomes. At our institution, we perform percutaneous jejunostomy placement as a planned two-stage procedure. During the initial stage, direct jejunostomy is performed under a combination of fluoroscopic and ultrasound guidance, after distending the jejunum through a nasojejunal tube. After confirming intraluminal access, at least one Cope suture anchor is deployed, and guidewire access is maintained. Subsequently, the track is serially dilated, and a 14-Fr pigtail catheter is placed into the jejunum. Approximately 4 to 6 weeks later, the patient returns for conversion of the pigtail drain into a formal jejunostomy catheter with retention balloon, under fluoroscopic guidance. Several of the prior larger studies on the technique have noted major complications to occur in 12% of patients and minor complications to occur in 9.8% of patients. While percutaneous jejunostomy placement is not a frequently performed procedure, technical success and complication rates are comparable to that of surgical jejunostomy.<\/jats:p>","DOI":"10.1055\/s-0044-1801745","type":"journal-article","created":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T00:02:56Z","timestamp":1737763376000},"page":"043-047","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous Jejunostomy"],"prefix":"10.1055","volume":"42","author":[{"given":"Adam P.","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy Ann B.","family":"Little","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junaid","family":"Raja","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen R.","family":"Brown","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J.","family":"Gunn","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junjian","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,1,24]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/j.igie.2023.07.008","article-title":"Increased inpatient gastrostomy and jejunostomy tube placement during the 2020 COVID-19 pandemic","volume":"2","author":"Y Huang","year":"2023","journal-title":"iGIE"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"931","DOI":"10.2214\/ajr.149.5.931","article-title":"Direct percutaneous jejunostomy","volume":"149","author":"R R Gray","year":"1987","journal-title":"AJR Am J Roentgenol"},{"issue":"08","key":"ref3","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1016\/j.jvir.2019.04.017","article-title":"Society of Interventional Radiology Consensus Guidelines for the periprocedural management of thrombotic and bleeding risk in patients undergoing percutaneous image-guided interventions - Part II: Recommendations: endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe","volume":"30","author":"I J Patel","year":"2019","journal-title":"J Vasc Interv Radiol"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1053\/j.gastro.2011.06.001","article-title":"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)","volume":"141","author":"M Itkin","year":"2011","journal-title":"Gastroenterology"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1177\/0148607116673053","article-title":"ASPEN safe practices for enteral nutrition therapy [formula: see text]","volume":"41","author":"J I Boullata","year":"2017","journal-title":"JPEN J Parenter Enteral Nutr"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"531","DOI":"10.6004\/jnccn.2013.0070","article-title":"Gastric cancer, version 2.2013: featured updates to the NCCN Guidelines","volume":"11","author":"J A Ajani","year":"2013","journal-title":"J Natl Compr Canc Netw"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/S1051-0443(07)61289-5","article-title":"US and fluoroscopic-guided percutaneous jejunostomy: experience in 49 patients","volume":"11","author":"H van Overhagen","year":"2000","journal-title":"J Vasc Interv Radiol"},{"issue":"12","key":"ref8","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.1016\/j.jvir.2009.08.012","article-title":"Fluoroscopically guided percutaneous jejunostomy with use of a 21-gauge needle: a prospective study in 51 patients","volume":"20","author":"H T Hu","year":"2009","journal-title":"J Vasc Interv Radiol"},{"issue":"11","key":"ref9","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1016\/j.crad.2007.02.023","article-title":"Fluoroscopically guided percutaneous jejunostomy: outcomes in 25 consecutive patients","volume":"62","author":"Z Q Yang","year":"2007","journal-title":"Clin Radiol"},{"issue":"07","key":"ref10","doi-asserted-by":"crossref","first-page":"1132","DOI":"10.1016\/j.jvir.2019.12.010","article-title":"Jejunostomy tube insertion for enteral nutrition: comparison of outcomes after laparoscopic versus radiologic insertion","volume":"31","author":"C Y Kim","year":"2020","journal-title":"J Vasc Interv Radiol"},{"issue":"05","key":"ref11","first-page":"1072","article-title":"Percutaneous fluoroscopically guided jejunostomy placement","volume":"65","author":"H M Richard","year":"2008","journal-title":"J Trauma"},{"issue":"12","key":"ref12","doi-asserted-by":"crossref","first-page":"1845","DOI":"10.1016\/j.jvir.2013.08.012","article-title":"Comparison of primary jejunostomy tubes versus gastrojejunostomy tubes for percutaneous enteral nutrition","volume":"24","author":"C Y Kim","year":"2013","journal-title":"J Vasc Interv Radiol"}],"container-title":["Seminars in Interventional Radiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1801745.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T22:30:49Z","timestamp":1746657049000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1801745"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,24]]},"references-count":12,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2025,5,7]]},"published-print":{"date-parts":[[2025,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1801745","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0739-9529","1098-8963"],"issn-type":[{"type":"print","value":"0739-9529"},{"type":"electronic","value":"1098-8963"}],"subject":[],"published":{"date-parts":[[2025,1,24]]}}}