Endoscopic suturing for the management of recurrent dislodgment of percutaneous endoscopic gastrostomy-jejunostomy tube

Abhishek Agnihotri, Sindhu Barola, Christine Hill, Priya Mishra, Lea Fayad, Margo Dunlap, Robert A. Moran, Vikesh Singh, Anthony N Kalloo, Mouen Khashab, Vivek Kumbhari

Research output: Contribution to journalArticle


Objective: To describe a novel technique for the prevention of recurrent percutaneous endoscopic gastrostomy-jejunostomy (PEG-J) tube dislodgements and assess its feasibility and efficacy. This technique utilizes endoscopic suturing to secure the PEG-J tube to the gastric wall. Methods: This was a retrospective analysis of consecutive cases of recurrent PEG-J tube dislodgements referred to a single endoscopist between June 2016 and June 2017, using an endoscopic suturing system to secure the PEG-J tube directly to the gastric wall. Technical success rates, the procedure time and related adverse events were analyzed. Results: There were five patients in total (three females). The procedure was technically successful in all patients. There were no procedure-related adverse events. The mean duration of follow-up was 7.8 ± 5.1 months. Two patients had accidental dislodgement at 8.5 and 12 months, respectively. There were no other unintended dislodgements. Conclusion: Endoscopic suturing with internal fixation of PEG-J tube is a safe and feasible approach to manage recurrent unintended dislodgements.

Original languageEnglish (US)
Pages (from-to)170-176
Number of pages7
JournalJournal of Digestive Diseases
Issue number3
StatePublished - Mar 1 2018



  • dislodgement
  • endoscopic suturing
  • PEG
  • PEG-J tube

ASJC Scopus subject areas

  • Gastroenterology

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