Single-balloon enteroscopy-assisted direct percutaneous endoscopic jejunostomy

H. Aktas; P. B. F. Mensink; E. J. Kuipers; H. van Buuren

doi:10.1055/s-0031-1291442

Endoscopy, Inhaltsverzeichnis

Endoscopy 2012; 44(02): 210-212
DOI: 10.1055/s-0031-1291442

Case report/series

Single-balloon enteroscopy-assisted direct percutaneous endoscopic jejunostomy

Autor*innen

H. Aktas

¹Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
P. B. F. Mensink

¹Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
E. J. Kuipers

¹Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands

²Department of Internal Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands
H. van Buuren

¹Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands

Abstract

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.

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Referenzen

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