Percutaneous jejunostomy: repeat access at the healed site of prior surgical jejunostomy with US and fluoroscopic guidance.

Purpose: To evaluate the safety and efficacy of ultrasound (US)- and fluoroscopy-guided jejunostomy tube placement in patients with a history of surgical jejunostomy.

Materials And Methods: Between June 2003 and June 2012, percutaneous US-guided jejunostomy placement was attempted 28 times in 26 patients with a history of surgical jejunostomy (14 men and 12 women). Retrospective chart review was performed to determine procedural success, complications, and interval between original jejunostomy and new tube placement.

The use of a simulation center to improve resident proficiency in performing ultrasound-guided procedures.

Rationale And Objectives: With advancements in technology and push for health care reform and reduced costs, minimally invasive procedures, such as those that are ultrasound-guided, have become an essential part of radiology, and are used in many divisions of radiology. By incorporating standardized training methodologies in a risk free environment through utilization of a simulation center with phantom training, we hope to improve proficiency and confidence in procedural performance.

Materials And Methods: Twenty-nine radiology residents from four levels of training were enrolled in this prospective study.