Endoscopic Adverse Events-A NOVEL TECHNIQUE OF ENDOSCOPIC SUTURING FOR THE FIXATION OF THE J-ARM OF A PERCUTANEOUS ENDOSCOPY GASTRO-JEJUNOSTOMY

A NOVEL TECHNIQUE OF ENDOSCOPIC SUTURING FOR THE FIXATION OF THE J-ARM OF A PERCUTANEOUS ENDOSCOPY GASTRO-JEJUNOSTOMY

Video Transcription

Video Summary

The transcript describes a video demonstrating a novel technique for endoscopic suturing to fixate the J-arm of a percutaneous endoscopy gastrointestinalostomy (PEG-J) tube. The patient is a 77-year-old female with gastroparesis and severe malnutrition. The previous PEG-J tube was complicated by J-arm dislodgement. The video shows the process of removing the old PEG tube and placing a new one, followed by threading the J-arm extension through the tube and deep into the jejunum. The suturing technique is then demonstrated, where loose, full-thickness stitches are placed to secure the J-arm to the gastric wall, preventing dislodgement and looping in the stomach. The patient experienced significant clinical improvement post-procedure. The video suggests that this technique may benefit patients with recurrent dislodgement and limited access to medical centers. Further studies are needed to evaluate long-term outcomes. The primary author of the video is Philip Kozan, with co-authors Jennifer Fan, Anna H. Lee, Craig Gluckman, B. Raman Muthuswamy, and Danny Issa.

Asset Subtitle

Honorable Mention

Keywords

endoscopic suturing

PEG-J tube

J-arm fixation

gastroparesis

malnutrition