Endoscopic suturing for the management of recurrent dislodgment of percutaneous endoscopic gastrostomy‐jejunostomy tube. Issue 3 (16th April 2018) - Agnihotri, Abhishek
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.