Direct percutaneous endoscopic jejunostomy using transgastrostomic endoscopy

Shinji Nishiwaki; Youhei Shirakami; Hiroshi Araki; Yukari Niwa; Masaya Kubota; Naoe Gotoh; Masahide Iwashita; Nobuhito Onogi; Takao Hayashi; Teruo Maeda; Koushirou Saitoh

Direct percutaneous endoscopic jejunostomy using transgastrostomic endoscopy

Shinji Nishiwaki
, Youhei Shirakami
, Hiroshi Araki
, Yukari Niwa
, Masaya Kubota
, Naoe Gotoh
, Masahide Iwashita
, Nobuhito Onogi
, Takao Hayashi
, Teruo Maeda
, Koushirou Saitoh

Research output: Contribution to journal › Article › peer-review

Abstract

[Purpose] Direct percutaneous endoscopic jejunostomy (D-PEJ) was performed using transgastrostomic endoscopy (TGE) in patients with repeated reflux or aspiration of gastric contents infused through PEG. [Methods] TGE was performed with a small-caliber endoscope GIF-XP240 (Olympus, Tokyo). One-Step Button™ (Boston Scientific, Natick, MA) was placed with the pull method under the guidance of TGE and fluoroscopy. [Results] D-PEJ were able to be placed on the upper jejunum in 9 patients except one case of dislocation of the upper jejunum after test puncture. There was no important procedure-related morbidity. No radioactivity in the stomach was observed during 60 min. after infusion of liquid meal mixed with Tc-99m Sn-colloid through D-PEJ in all patients. [Conclusion] D-PEJ using TGE was a useful and safe method without using a small bowel endoscope or overtube.

Original language	English
Pages (from-to)	1436-1441
Number of pages	6
Journal	GASTROENTEROLOGICAL ENDOSCOPY
Volume	47
Issue number	7
Publication status	Published - 07-2005
Externally published	Yes

All Science Journal Classification (ASJC) codes

Radiology Nuclear Medicine and imaging
Gastroenterology

Cite this

@article{16bea40594844a56b1ed4ab291c28512,

title = "Direct percutaneous endoscopic jejunostomy using transgastrostomic endoscopy",

abstract = "[Purpose] Direct percutaneous endoscopic jejunostomy (D-PEJ) was performed using transgastrostomic endoscopy (TGE) in patients with repeated reflux or aspiration of gastric contents infused through PEG. [Methods] TGE was performed with a small-caliber endoscope GIF-XP240 (Olympus, Tokyo). One-Step Button{\texttrademark} (Boston Scientific, Natick, MA) was placed with the pull method under the guidance of TGE and fluoroscopy. [Results] D-PEJ were able to be placed on the upper jejunum in 9 patients except one case of dislocation of the upper jejunum after test puncture. There was no important procedure-related morbidity. No radioactivity in the stomach was observed during 60 min. after infusion of liquid meal mixed with Tc-99m Sn-colloid through D-PEJ in all patients. [Conclusion] D-PEJ using TGE was a useful and safe method without using a small bowel endoscope or overtube.",

author = "Shinji Nishiwaki and Youhei Shirakami and Hiroshi Araki and Yukari Niwa and Masaya Kubota and Naoe Gotoh and Masahide Iwashita and Nobuhito Onogi and Takao Hayashi and Teruo Maeda and Koushirou Saitoh",

year = "2005",

month = jul,

language = "English",

volume = "47",

pages = "1436--1441",

journal = "GASTROENTEROLOGICAL ENDOSCOPY",

issn = "0387-1207",

publisher = "Japan Gastroenterological Endoscopy Society",

number = "7",

}

TY - JOUR

T1 - Direct percutaneous endoscopic jejunostomy using transgastrostomic endoscopy

AU - Nishiwaki, Shinji

AU - Shirakami, Youhei

AU - Araki, Hiroshi

AU - Niwa, Yukari

AU - Kubota, Masaya

AU - Gotoh, Naoe

AU - Iwashita, Masahide

AU - Onogi, Nobuhito

AU - Hayashi, Takao

AU - Maeda, Teruo

AU - Saitoh, Koushirou

PY - 2005/7

Y1 - 2005/7

N2 - [Purpose] Direct percutaneous endoscopic jejunostomy (D-PEJ) was performed using transgastrostomic endoscopy (TGE) in patients with repeated reflux or aspiration of gastric contents infused through PEG. [Methods] TGE was performed with a small-caliber endoscope GIF-XP240 (Olympus, Tokyo). One-Step Button™ (Boston Scientific, Natick, MA) was placed with the pull method under the guidance of TGE and fluoroscopy. [Results] D-PEJ were able to be placed on the upper jejunum in 9 patients except one case of dislocation of the upper jejunum after test puncture. There was no important procedure-related morbidity. No radioactivity in the stomach was observed during 60 min. after infusion of liquid meal mixed with Tc-99m Sn-colloid through D-PEJ in all patients. [Conclusion] D-PEJ using TGE was a useful and safe method without using a small bowel endoscope or overtube.

AB - [Purpose] Direct percutaneous endoscopic jejunostomy (D-PEJ) was performed using transgastrostomic endoscopy (TGE) in patients with repeated reflux or aspiration of gastric contents infused through PEG. [Methods] TGE was performed with a small-caliber endoscope GIF-XP240 (Olympus, Tokyo). One-Step Button™ (Boston Scientific, Natick, MA) was placed with the pull method under the guidance of TGE and fluoroscopy. [Results] D-PEJ were able to be placed on the upper jejunum in 9 patients except one case of dislocation of the upper jejunum after test puncture. There was no important procedure-related morbidity. No radioactivity in the stomach was observed during 60 min. after infusion of liquid meal mixed with Tc-99m Sn-colloid through D-PEJ in all patients. [Conclusion] D-PEJ using TGE was a useful and safe method without using a small bowel endoscope or overtube.

UR - https://www.scopus.com/pages/publications/23344436290

UR - https://www.scopus.com/pages/publications/23344436290#tab=citedBy

M3 - Article

AN - SCOPUS:23344436290

SN - 0387-1207

VL - 47

SP - 1436

EP - 1441

JO - GASTROENTEROLOGICAL ENDOSCOPY

JF - GASTROENTEROLOGICAL ENDOSCOPY

IS - 7

ER -

Direct percutaneous endoscopic jejunostomy using transgastrostomic endoscopy

Abstract

All Science Journal Classification (ASJC) codes

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