Assessment of the safety and efficacy of percutaneous laparoscopic endoscopic jejunostomy (PLEJ)

Journal of Pediatric Surgery
Dalis BelshaSean Marven

Abstract

Gastric feeding may not be possible in the neurologically impaired child with foregut dysmotility. Post-duodenal feeding can be crucial, thereby avoiding the need for parenteral nutrition. The aim of this study is to evaluate the technical success, complication and clinical outcome of our institution's technique in creating a jejunostomy using the percutaneous laparoscopic-endoscopic jejunostomy (PLEJ) technique. Retrospective review of all paediatric patients (<18) with PLEJ between January 2008 and April 2015 was conducted. Patients were identified using the electronic procedure code and clinic letters. Data were collected in regard to the procedure technical success, short and long-term complications and clinical outcomes. Sixteen patients (age range, 2-17years) were identified. The procedure was successful in all cases. At a median follow up of 25months, eleven patients (68%) had significant improvement of their symptoms of feeding intolerance/aspirations and are permanently PLEJ fed and two (13%) were regraded to gastric feeds. Two patients moved from total parenteral nutrition to partial parenteral nutrition while on PLEJ feeds. All patients had experienced weight gain and either went up or maintained their weight centile...Continue Reading

References

Jun 1, 1996·Journal of Pediatric Surgery·D Smith, P Soucy
Apr 1, 1997·Journal of Pediatric Surgery·B F GilchristC W Wesselhoeft
Mar 18, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Heather B Neuman, J Duncan Phillips
Mar 1, 2008·Gastrointestinal Endoscopy·Daniel J VirnigJohn C Fang
Feb 17, 2010·Pediatric Surgery International·Janice A Taylor, Frederick C Ryckman
Feb 15, 2012·Journal of Pediatric Gastroenterology and Nutrition·Laurent MichaudFrédéric Gottrand
Apr 17, 2012·Archives of Disease in Childhood·Laurent MichaudFrédéric Gottrand
Dec 21, 2012·Wideochirurgia i inne techniki mało inwazyjne = Videosurgery and other miniinvasive techniques·Maciej BobowiczJanusz Jaśkiewicz
Jun 1, 2013·JPEN. Journal of Parenteral and Enteral Nutrition·Christina EgnellLena Grahnquist
Sep 12, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Jacobo Velázquez-AviñaKlaus Mönkemüller
May 1, 2015·Expert Review of Gastroenterology & Hepatology·Teresa CapriatiAntonella Diamanti

❮ Previous
Next ❯

Citations

Jan 13, 2017·British Journal of Nursing : BJN·Hardip Malhi
Feb 25, 2017·Gastroenterology Research and Practice·Tabea PangJohannes Mayr
Sep 15, 2020·Journal of Pediatric Surgery·Niti ShahiDenis Bensard
Jun 23, 2021·Journal of Pediatric Gastroenterology and Nutrition·Matjaž HomanJorge Amil-Dias

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.