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Pediatric Radiology
Published in: Pediatric Radiology 8/2009

01-08-2009 | Technical Innovation

Exchange of an occluded nasojejunal tube facilitated by angioplasty balloon-induced rupture

Authors: Bing Hu, Neil D. Johnson, John Racadio, Barbara A. Bear

Published in: Pediatric Radiology | Issue 8/2009

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Abstract

We describe a method of exchanging a blocked nasojejunal (NJ) tube involving the use of a percutaneous transluminal angioplasty balloon to rupture the tube, followed by insertion of a guidewire through this rupture to create a guide for subsequent placement of a modified NJ tube. We used this technique in a child with a critical need for an NJ tube, in whom routine guidewire exchange was not feasible because of tube obstruction as well as the patient’s anatomic abnormalities. This technique might also be useful for other patients in whom standard techniques are ineffective.
Literature
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Hillard AE, Waddell JJ, Metzler MH et al (1995) Fluoroscopically guided nasoenteric feeding tube placement versus bedside placement. South Med J 88:425–428PubMed
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Silk DB, Bray MJ, Keele AM et al (1996) Clinical evaluation of a newly designed nasogastric enteral feeding tube. Clin Nutr 15:285–290PubMedCrossRef
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Flores JC, López-Herce J, Sola I et al (2006) Duodenal perforation caused by a transpyloric tube in a critically ill infant. Nutrition 22:209–212PubMedCrossRef
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Hughes U, Connolly B (2000) Small-bowel intussusceptions occurring around nasojejunal enteral tubes – three cases occurring in children. Pediatr Radiol 31:456–457CrossRef
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Merten DF, Mumford L, Filston HC et al (1980) Radiological observations during transpyloric tube feeding in infants of low birth weight. Radiology 136:67–75PubMed
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Nazari S, Dionigi P, Dionigi R (1984) Nasogastric tube substitution for nutritional support in patients with oesophageal cancer: a simple method. Clin Nutr 3:59–60CrossRef
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Metadata
Title
Exchange of an occluded nasojejunal tube facilitated by angioplasty balloon-induced rupture
Authors
Bing Hu
Neil D. Johnson
John Racadio
Barbara A. Bear
Publication date
01-08-2009
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 8/2009
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-009-1264-z

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