Procedure:Â GJ tube contrast evaluation and catheter replacement
Indication:Â Clogged GastroJejunostomy Tube
Date:Â Â Â Â Â Â
Operators: Dr(s).   Â
Medications:Â Â Â Â Â Â
Fluoro time:Â Â Â minutes
Catheter:   French ballooned GJ tube
Complications:Â None immediate
Procedure:
Informed consent was obtained. A time out/call to order was performed prior to procedure initiation.
The anterior abdominal wall was prepped and draped in sterile fashion. Contrast was injected, confirming catheter location.
A 0.035” stiff angled Glidewire was advanced through the existing catheter and positioned well beyond the ligament of Treitz. Â
A new, ___French GJ tube was advanced over the wire. The balloon was inflated with 10 mL tap water.  The wire was removed.  Both lumens were injected to confirm location.
The procedure was well-tolerated, and the patient was discharged from the angio suite in satisfactory condition.
Findings:
The existing catheter is positioned ____.Â
The new GJ tube is appropriately positioned with sideholes in the stomach and the jejunal tip well beyond the ligament of Treitz.
Impression:Â
Uneventful contrast evaluation with replacement of gastrojejunostomy tube as described.
Frequently Asked Questions
What is a gastrojejunostomy (GJ) tube exchange?
A gastrojejunostomy (GJ) tube exchange is a medical procedure to replace a blocked or malfunctioning GJ tube. This tube helps deliver nutrients directly to the small intestine, bypassing the stomach. The procedure involves removing the old tube and inserting a new one using imaging guidance to ensure correct placement.
Why might someone need a GJ tube exchange?
A GJ tube exchange is typically needed when the existing tube becomes clogged or dislodged, or if complications arise. It ensures proper nutrition delivery and prevents issues like abdominal discomfort or infection. Regular exchanges can also be part of routine maintenance for individuals who rely on GJ tubes long-term.
The procedure begins with obtaining informed consent and prepping the abdominal area. A contrast dye is injected to confirm the tube's position. A guidewire is then threaded through the existing tube, which is replaced with a new GJ tube over the wire. The new tube's position is verified, and the balloon is inflated to secure it.
What are the risks associated with GJ tube exchange?
While generally safe, GJ tube exchange can carry risks such as infection, bleeding, or injury to the gastrointestinal tract. However, complications are rare when the procedure is performed by experienced medical professionals. Immediate complications are uncommon, and patients usually recover without issues.
How should patients prepare for a GJ tube exchange?
Patients should follow their doctor's specific instructions, which may include fasting before the procedure. It's crucial to discuss any medications, allergies, or health conditions with the healthcare team. Informed consent will be obtained, and patients should arrange for post-procedure transportation.
What happens after a GJ tube exchange procedure?
After the procedure, patients are monitored briefly for any immediate complications. They may experience mild discomfort but can usually resume normal activities shortly thereafter. It's important to follow any aftercare instructions provided by the healthcare team to ensure proper healing and functioning of the new tube.
How often does a GJ tube need to be replaced?
The frequency of GJ tube replacement can vary depending on individual health needs, tube type, and any complications. Generally, replacements occur every 3 to 12 months, but your healthcare provider will recommend a schedule based on your specific circumstances.