Background and Aims
Gastrojejunal feeding tubes (GJTs) are typically converted from gastrostomy feeding
tubes by interventional radiology in many pediatric centers to provide both postpyloric
feeding and gastric decompression. Endoscopic transgastric GJT placement via an established
gastric stoma can be performed without sedation and with minimal fluoroscopy but is
relatively new in pediatrics with limited description. This study analyzed the success
rate, adverse events, and technical issues associated with endoscopic GJT placement
via a transgastric approach in pediatric patients at a large children’s hospital.
Methods
We retrospectively reviewed endoscopic GJT placements in pediatric patients performed
over a 16-month period at the Children’s Hospital of New York-Presbyterian, Columbia
University Medical Center. Indication for GJT placement, patient demographic characteristics
and medical history, use of sedation, fluoroscopy time, and procedural and postprocedural
adverse events were assessed.
Results
A total of 47 GJT placements were performed, all successful, in a patient cohort with
a mean age of 8 years. The mean fluoroscopy time was 10 seconds, and sedation was
used in 30% of placements. In 8 patients who had undergone GJT placement by endoscopy
and interventional radiology, the fluoroscopy time was significantly reduced by using
the endoscopic method (10 seconds vs 299 seconds, P = .001).
Conclusions
Endoscopic transgastric GJT placement via an established gastrostomy with fluoroscopic
confirmation can be safely performed by pediatric gastroenterologists without sedation
and with minimal radiation exposure.
Abbreviations:
GJT (gastrojejunal feeding tube), IR (interventional radiology)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: July 28, 2015
Accepted:
June 11,
2015
Received:
January 2,
2015
Footnotes
DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.
If you would like to chat with an author of this article, you may contact Dr Picoraro at [email protected]
Identification
Copyright
© 2015 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
