Experiences of Direct Percutaneous Endoscopic Jejunostomy for Gastrointestinal Obstruction in Terminal Stage Gastric Cancer

Direct percutaneous endoscopic jejunostomy for jejunal feeding.

The aim was to review our experience of direct percutaneous endoscopic jejunostomy (DPEJ) tube placement at Aintree Centre for Gastroenterology, University Hospital Aintree, Liverpool (UHA). Patients were identified from the percuteneous endoscopic gastrostomy (PEG)/PEJ database maintained at UHA. 20 attempted DPEJ procedures were identified, spanning the time period from December 1997 to Octob...

Direct percutaneous endoscopic jejunostomy in patients with altered anatomy.

Jejunal inflammatory granuloma: a complication of direct percutaneous endoscopic jejunostomy.

hospital for follow−up treatment after an intracerebral bleed on 5 February 2002. We placed a percutaneous endoscopic gastrostomy (PEG) on 5 March 2002 for enteral feeding. She developed frequent vomiting of the nutrients administered through the PEG tube 26 months after PEG placement. We tried gastric motility stimulant drugs, but these were ineffec− tive, and on 21 June 2004 we performed a di...

Single-balloon enteroscopy-assisted direct percutaneous endoscopic jejunostomy.

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)-as...

Gastric outlet obstruction following percutaneous endoscopic gastrostomy.

A 64-year-old man with Parkinson’s diseasewas being treatedwith levodopa-carbidopa intestinal gel formulation through a percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) tube that had been placed in 2010. In April 2014, he complained of abdominal distension, pain, bloating, food intolerance, and a pulling sensation from the PEG-J tube. At the physical examination, we observed a...