title: Endoscopic clips prevent displacement of intestinal feeding tubes: a long-term follow-up study.
abstract: BACKGROUND
  Displacement of jejunal feeding tubes is a major problem in enteral feeding. Although endoscopic clips have been used to prevent migration of the tube during placement, the long-term effect of the clips on tube displacement is unknown.
  
  
  OBJECTIVE
  The purpose of this study was to examine the long-term effect of endoscopic clips on preventing displacement of the jejunal feeding tube.
  
  
  METHODS
  A retrospective study.
  
  
  METHODS
  A single tertiary medical center.
  
  
  METHODS
  The success rate of the procedure and the functional duration of the feeding tube.
  
  
  RESULTS
  About 93% of patients had a percutaneous endoscopic gastrostomy jejunal (PEGJ) tube successfully placed with use of endoscopic clips. About 7% had tube migration and repeat procedures were successful. The mean functional duration of the tube was 55 days. Limitations Retrospective, single-center.
  
  
  CONCLUSIONS
  Use of endoscopic clips can prevent migration during placement of the feeding tube and can also reduce tube displacement in the long term.
authors.affiliation: Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA 30322, USA.
authors.forename: Maureen Onyinyechukwu
authors.initials: MO
authors.lastname: Udorah
authors.forename: Michael Wayne
authors.initials: MW
authors.lastname: Fleischman
authors.forename: Vanitha
authors.initials: V
authors.lastname: Bala
authors.forename: Qiang
authors.initials: Q
authors.lastname: Cai
mesh_terms: D000328:Adult; D000368:Aged; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004750:Enteral Nutrition / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000517:prevention & control*; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013536:Suture Techniques / Q000295:instrumentation*; D013997:Time Factors; D016896:Treatment Outcome