Replacement of J tube Dictation

History: [x]

Procedure: [x]

Technique: Informed consent was obtained. The patient was identified and placed in the supine position. The right side of the abdomen, where the previous J-tube entry site was prepped and draped in the usual sterile fashion. 2 % lidocaine was used for local anesthesia. A Bernstein catheter was introduced through the existing ostomy in the skin and contrast was injected. Utilizing a guidewire and catheter combination, access was obtained into the jejunum. A 12 French catheter was then advanced over the wire into the jejunum. Contrast was injected through the new jejunostomy tube confirmed its position.

Dr. [x], the attending interventional radiologist, was present for the critical portions of the procedure and reviewed all images obtained.

Impression:

Successful replacement of a 12 French jejunostomy tube.