The Role of Percutaneous Endoscopic Transgastric Jejunostomy in the Management of Enteral Tube Feeding

Feeding-related adverse events after percutaneous endoscopic gastrostomy (PEG) such as aspiration pneumonia can impede the use of PEG. Percutaneous endoscopic transgastric jejunostomy (PEG-J) using large-bore jejunal tubes with gastric decompression function may improve outcomes by circumventing gas...

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Detalles Bibliográficos
Autor principal: Toh Yoon, Ezekiel Wong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5040544/
https://www.ncbi.nlm.nih.gov/pubmed/27785325
http://dx.doi.org/10.14740/gr704w
Descripción
Sumario:Feeding-related adverse events after percutaneous endoscopic gastrostomy (PEG) such as aspiration pneumonia can impede the use of PEG. Percutaneous endoscopic transgastric jejunostomy (PEG-J) using large-bore jejunal tubes with gastric decompression function may improve outcomes by circumventing gastric passage during enteral nutrition and improving drainage of excessive gastric secretions. This report describes a case where PEG-J was successful in maintaining enteral tube feeding in a 72-year-old man when PEG feeding was not tolerated. Patients with unsuccessful PEG feeding can be offered the option of jejunal feeding before terminating enteral nutrition.

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