title: A novel ballooned-tip percutaneous endoscopic gastrojejunostomy tube: a pilot study.
abstract: BACKGROUND
  The tip of currently available percutaneous endoscopic gastrojejunostomy (PEGJ) tubes frequently migrates back into the stomach.
  
  
  OBJECTIVE
  To study the safety of a novel, ballooned-tip, PEGJ tube and assess the risk of retrograde migration into the stomach within 3 weeks of placement.
  
  
  METHODS
  Prospective clinical study (NCT01551095).
  
  
  METHODS
  Tertiary-care center.
  
  
  METHODS
  Seven patients who required post-pyloric feeding were included.
  
  
  METHODS
  Placement of PEGJ feeding tubes.
  
  
  METHODS
  Position of the PEGJ, abdominal radiograph findings, adverse events.
  
  
  RESULTS
  Seven patients underwent placement of self-propelled PEGJ tubes during the study period. Technical success was achieved in all patients (100%). All procedures were rated as technically simple, and jejunostomy tubes were placed in <5 minutes during all procedures. Abdominal radiographs showed that the jejunostomy tubes were in the jejunum in all 7 patients at both 1 and 3 weeks after tube placement.
  
  
  CONCLUSIONS
  Small number of patients and short follow-up.
  
  
  CONCLUSIONS
  Ballooned-tip PEGJ feeding tubes were safe and easy to place. The presence of the balloon prevented migration into the stomach. Ballooned-tip PEGJ tubes have the potential to eliminate the need for hospital readmission and repeat endoscopies for retrograde tube migration, and this may result in large systemic cost savings.
authors.affiliation: Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, MD 21205, USA.
authors.forename: Katherine J
authors.initials: KJ
authors.lastname: Kim
authors.forename: David
authors.initials: D
authors.lastname: Victor
authors.forename: Ellen
authors.initials: E
authors.lastname: Stein
authors.forename: Ali Kord
authors.initials: AK
authors.lastname: Valeshabad
authors.forename: Payal
authors.initials: P
authors.lastname: Saxena
authors.forename: Vikesh K
authors.initials: VK
authors.lastname: Singh
authors.forename: Anne Marie
authors.initials: AM
authors.lastname: Lennon
authors.forename: John O
authors.initials: JO
authors.lastname: Clarke
authors.forename: Mouen A
authors.initials: MA
authors.lastname: Khashab
mesh_terms: D000328:Adult; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004750:Enteral Nutrition / Q000295:instrumentation / Q000379:methods; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000517:prevention & control*; D015390:Gastric Bypass; D005774:Gastrostomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007582:Jejunostomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D010865:Pilot Projects; D011446:Prospective Studies; D062606:Tertiary Care Centers; D016896:Treatment Outcome; D055815:Young Adult