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Percutaneous Transesophageal Access for Enteral Feeding Tube Placement

  • Technical Note
  • Non-Vascular Interventions
  • Published:
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Abstract

Background

The purpose of this study was to describe our experience with percutaneous transesophageal enteral feeding tube placement when percutaneous gastrostomy tube placement is not feasible.

Materials and Methods

A retrospective review was performed from July 2018 to March 2019. Thirteen patients (9 females, 4 males), (age range 22–80 years; mean age, 55 years; mean body mass index of 24.6) underwent placement of 14 percutaneous transesophageal enteral feeding tubes. Relative contraindications to standard gastrostomy tube placement included: prior gastric surgery (5 patients), severe contractures/large body habitus (2), abdominal mesh (1), high riding stomach (1), interposition of bowel (1), ascites (1), and refractory gastrostomy tract leak (1). Patients were evaluated for functionality of the tube, complications, and patients’ satisfaction with physical examination at 24 h, review of electronic medical record and phone interviews at 1 month, and 3-month follow-up. Complications were classified according to the CIRSE guidelines.

Results

Technical success rate was 100% with placement of seven percutaneous transesophageal gastrostomy tubes and seven percutaneous transesophageal jejunostomy tubes. One patient underwent tube placement twice after dislodgement. At 3-month follow-up, two patients had died, one patient was lost to follow-up, and 11 patients had properly working tubes. No major complications occurred. Minor complication rate was 43% (6/14). Patient’s satisfaction scores ranged from “poor” 2/11 (18%) or “neutral” 4/11 (36.4%) to “satisfied/very satisfied” 5/11 (45.3%).

Conclusion

Percutaneous transesophageal enteral feeding tube placement is feasible with a low complication rate. A majority of patients were either satisfied or neutral with the transesophageal enteral tube.

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Funding

This study was not supported by any funding.

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Authors and Affiliations

  1. Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA

    Mamadou L. Sanogo, William Sherk, Anthony Esparaz, Xhorlina Marko, Joseph J. Gemmete & James Shields

Authors
  1. Mamadou L. Sanogo
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  2. William Sherk
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  3. Anthony Esparaz
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  4. Xhorlina Marko
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  5. Joseph J. Gemmete
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  6. James Shields
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Contributions

MLS performed most of the literature searching and analysis, and wrote the manuscript. AE and WS helped collect data and edit the manuscript. XM, JJG, and JS edited the manuscript.

Corresponding author

Correspondence to Mamadou L. Sanogo.

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The authors declare that they have no conflict of interest.

Ethical Approval

This study has obtained the institutional review board (IRB) approval at our institution.

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Sanogo, M.L., Sherk, W., Esparaz, A. et al. Percutaneous Transesophageal Access for Enteral Feeding Tube Placement. Cardiovasc Intervent Radiol 43, 155–161 (2020). https://doi.org/10.1007/s00270-019-02315-5

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  • DOI: https://doi.org/10.1007/s00270-019-02315-5

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