Direct percutaneous endoscopic jejunostomy: a case series in pediatric patients
| Autor: | Edward J. Frech, Daniel J. Virnig, John C. Fang, Mark H. DeLegge |
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| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Critical Illness medicine.medical_treatment Jejunostomy Enteral administration Endoscopy Gastrointestinal Enteral Nutrition Percutaneous endoscopic jejunostomy Percutaneous endoscopic gastrostomy medicine Humans Radiology Nuclear Medicine and imaging Major complication Child Retrospective Studies medicine.diagnostic_test business.industry Gastroenterology Endoscopy Surgery Parenteral nutrition Peristomal Skin Child Preschool business Follow-Up Studies |
| Zdroj: | Gastrointestinal Endoscopy. 67:984-987 |
| ISSN: | 0016-5107 |
| DOI: | 10.1016/j.gie.2007.11.008 |
| Popis: | Background Direct percutaneous endoscopic jejunostomy (DPEJ) is a well-known approach to deliver postpyloric enteral nutrition support to individuals who cannot tolerate gastric feeding. DPEJ addresses many of the shortcomings of jejunal feeding tubes placed through percutaneous endoscopic gastrostomy tubes. The safety and efficacy of DPEJ in adults has been previously reported. There are no reports on the use of DPEJ in pediatric patients. Objective Our purpose was to report on 5 pediatric patients who underwent DPEJ placement between January 2000 and January 2003 over the available follow-up periods. Design Retrospective case series. Setting University of Utah Health Sciences Center and the Medical University of South Carolina. Patients Five patients, age range 4 to 17 years. Main Outcome Measurements Rate of successful tube placement, major and minor complications, and outcomes including weight gain and recurrent aspiration after DPEJ placement. Results All 5 attempted DPEJs were placed successfully with 2 minor complications of peristomal leakage and peristomal skin infection. One DPEJ was replaced 2 years after placement because of fungal degradation. The mean weight gain among all patients was 10.3 kg in a mean of 22.6 months. Limitations Retrospective, small series. Conclusions DPEJ placement appears to be a safe and effective approach to enteral nutritional support in pediatric patients requiring long-term access to the jejunum. No major complications occurred and all patients gained weight after tube placement. |
| Databáze: | OpenAIRE |
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