A novel ballooned-tip percutaneous endoscopic gastrojejunostomy tube: a pilot study

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. Design Prospective clinical study (NCT01551095). Setting Tertiary-care center. Patients Seven patients who required post-pyloric feeding were included. Intervention Placement of PEGJ feeding tubes. Main Outcome Measurements 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  Limitations Small number of patients and short follow-up. Conclusion 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.