Fig. 2. A 61-year-old male with prior intrathoracic esophagectomy in need of enteral feeding. (A, B) Anteroposterior and lateral fluoroscopic images show the most superficial puncture target (arrows) of the inserted 7.5-Fr multifunctional coil catheter in the jejunum. (C) A Chiba needle (arrows) was then inserted into the target jejunum closest to the abdominal wall after contrast and air injection through the catheter. (D) After exchange of the Chiba needle with a 6-Fr Neff catheter over a 0.018-inch guidewire (not shown), a suture anchor (arrowheads) was pushed into the jejunum by a 0.035-inch Amplatz guidewire (arrows). (E) Tract dilation was performed with serial dilators (arrows). (F) A 14-Fr pigtail-type tube was inserted into the jejunal lumen, and the image shows good contrast opacification of the bowel without evidence of extraluminal contrast.
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