Endoscopic Clips Prevent Displacement of Intestinal Feeding Tubes: A Long-Term Follow-Up Study

Abstract

Use of endoscopic clips can prevent migration during placement of the feeding tube and can also reduce tube displacement in the long term.

Enteral nutrition access devices

“…The tube can then be released, or, alternatively, the tube's position can be secured by ligating the suture loop to the small intestinal mucosa by using an endoscopic clip. [7][8][9][10][11] Another variation of the drag and pull method can be performed by using a specially designed NET with a small magnet within the tip that is then directed into the jejunum by using an external magnet. 12,13 Ultrathin endoscopes can be used for transnasal endoscopic placement of a guidewire and NET, 4,14-16 eliminating the need for an oronasal transfer tube.…”

“…57 PEGJ tubes have a high success rate, as high as 93%. 9,58 In one study, the mean functional duration of the tubes was 55 days. 9 Unfortunately, retrograde dislodgment of the jejunal extension tube is common and can occur in 33% of cases.…”

“…9,58 In one study, the mean functional duration of the tubes was 55 days. 9 Unfortunately, retrograde dislodgment of the jejunal extension tube is common and can occur in 33% of cases. 58 Securing the jejunal tube with endoscopic clips may help prevent displacement.…”

“…58 Securing the jejunal tube with endoscopic clips may help prevent displacement. 9 In children, PEGJ tubes have been used with success but require frequent tube changes (mean 2.2 per patient [range [1][2][3][4][5][6][7][8][9][10][11][12][13][14]). 59,60 In one study, the tubes had a median functional duration of 39 days with a range of 2 to 474 days.…”

Endoscopic solutions to challenging enteral feeding problems

“…The use of clips to reduce tube migration during the initial procedure has been described previously, but the long-term efficacy of clips to prevent dislodgement was just recently reported [17]. After endoscopic confirmation of a nonobstructed path for the jejunal extender tube, the jejunal extender feeding tube was prepared by threading a suture loop through the tip.…”