Single-balloon enteroscopy-assisted direct percutaneous endoscopic jejunostomy

被引:30
作者
Aktas, H. [1 ]
Mensink, P. B. F. [1 ]
Kuipers, E. J. [1 ,2 ]
van Buuren, H. [1 ]
机构
[1] Erasmus MC Univ Med Ctr, Dept Gastroenterol & Hepatol, NL-3015 CE Rotterdam, Netherlands
[2] Erasmus MC Univ Med Ctr, Dept Internal Med, NL-3015 CE Rotterdam, Netherlands
关键词
D O I
10.1055/s-0031-1291442
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Direct percutaneous endoscopic jejunostomy (DPEJ) has emerged as a viable alternative for percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) in patients who cannot tolerate gastric feeding. Reportedly, DPEJ placement with regular endoscopes fails in up to one-third of cases. The aim of the current study was to assess the efficacy and safety of single-balloon enteroscopy (SBE)-assisted DPEJ. The DPEJ placement technique was comparable to conventional PEG placement. A total of 12 DPEJ procedures were performed in 11 patients (mean age 55 years [range 24-83 years]; seven males). SBE-assisted DPEJ was successful in 11 of the 12 procedures (92%). Post-procedural complications included gastroparesis and aspiration pneumonia in one case each. We conclude that SBE-assisted DPEJ placement seems a safe and successful approach for patients requiring jejunal enteral feeding.
引用
收藏
页码:211 / 213
页数:3
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