Background/Aims Chronic intestinal pseudo-obstruction (CIPO) is a serious, life-threatening motility disorder that is often related to bacterial overgrowth. Fecal microbiota transplantation (FMT) results in restoration of the normal intestinal microbial community structure. We investigated the efficacy of FMT in the treatment of CIPO patients. Methods Nine patients (age 18-53 years) with CIPO...

CONTEXT Abdominal pain, malabsorption and diabetes all contribute to a negative impact upon nutritional status in chronic pancreatitis and no validated standard for the nutritional management of patients exists. OBJECTIVE To assess the effect of nasojejunal nutrition in chronic pancreatitis patients. DESIGN All consecutive chronic pancreatitis patients fed via the nasojejunal route between ...

A 55-year old man with a large infected walled-off area of pancreatic necrosis (WON) was referred to us for endoscopic drainage. Endoscopic ultrasound (EUS) revealed a significant amount of solid debris. Under EUS guidance, the WON was punctured (●" Fig.1) and, after tract dilation, two 10-Fr double-pigtail stents and a nasocystic catheter were placed to drain the cavity. The patient’s pain imp...

Correspondence Adverse effects of nasogastric feeding tubes and the management of recurrent apnoea Sir, The role of miconazole in the treatment of systemic candidiasis was clearly described by Tuck' in his report of 2 cases. However, his paper also contained examples of the iatrogenic hazards of neonatal intensive care and these deserve comment. In each case intravenous feeding was given throug...

Introduction: Patients are kept nil per oral (NPO) after surgery for gastric cancer and all patients receives intravenous fluids till feed is commenced. There established benefit of enteral nutrition cancer. Early feeding comes with lots hesitation execution, so to offer benefits early avoid feeding, nasojejunal tube (NJ) can be used as alternative jejunostomy (FJ) also total parenteral (TPN) a...

esophagectomy are associated with high morbidity and mortality [1,2]. We pres− ent here a patient who had a subtotal esophagectomy with gastric interposition because of esophageal adenocarcinoma. Anastomotic leakage occurred and was treated by endoscopic applications of fi− brin glue. One month after discharge she presented with a large (2.5 cm ” 5 cm) ia− trogenic esophagotracheal fistula. Be−...

BACKGROUND Continuous levodopa-carbidopa intestinal gel (LCIG) diminishes daily "off" time and dyskinesia in patients with advanced Parkinson's disease (PD). Complications are common with percutaneous endoscopic gastrostomy with a jejunal extension tube (PEG-J). AIM OF THE STUDY To report the clinical outcome of LCIG in patients with advanced PD in the years 2006-2014 at Helsinki University H...

Introduction: Postoperative nutrition is especially important amongst liver transplant recipients, given the high incidence of preoperative malnutrition. This study seeks to analyze prevalence tube feeding supplementation transplanted recipients and patient characteristics associated with feeding. Methods: Consecutive primary adult liver-only between 7/1/2018 6/30/2021 were retrospectively revi...

Covered self-expanding metallic stents (cSEMSs) have emerged as effective treatment option for esophageal perforations. However, the large lower esophageal perforations where the cSEMS is placed across gastroesophageal junction have lower healing rates because refluxed gastric contents constantly irritate perforation and also there is increased risk of stent migration. Moreover, gastric mucosa ...

BACKGROUND The optimal route of nutrition in severe pancreatitis is controversial. Parenteral nutrition (PN) is preferred, but enteral nutrition (EN) promises to attenuate inflammation and prevent sepsis. We hypothesized that EN was at least equivalent to PN in reducing inflammation, providing effective nutrition and being cost-effective. METHODS We conducted a randomized controlled trial com...