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

研究成果: ジャーナルへの寄稿学術論文査読

4 被引用数 (Scopus)

抄録

[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.

本文言語英語
ページ(範囲)1436-1441
ページ数6
ジャーナルGASTROENTEROLOGICAL ENDOSCOPY
47
7
出版ステータス出版済み - 07-2005
外部発表はい

All Science Journal Classification (ASJC) codes

  • 放射線学、核医学およびイメージング
  • 消化器病学

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