Indications and Contraindications of Primary Radiologic Jejunostomy
Indication | Contraindication | |
---|---|---|
Absolute | Relative | |
Previous gastric surgery (i.e., gastrectomy) | Unsatisfactory percutaneous access route | Ascites |
Abnormal gastric position | Peritoneal dialysis | Uncorrectable coagulopathy |
Chronic aspiration from gastric feedings (i.e., gastroparesis, GERD) | Morbid obesity | Mild to moderate obesity |
Gastric outlet obstruction | Portal enteropathy, enteritis | |
Pancreatitis, pancreatic injury or surgery to bypass the pancreatic duct and allow the pancreas to heal | Massive ascites | |
After major upper GI tract surgery (i.e., esophagectomy) | ||
Feeding distal to a gastric or jejunal injury or fistula |
GERD, gastroesophageal reflux disease; GI, gastrointestinal.