Single-balloon enteroscopy-assisted direct percutaneous endoscopic jejunostomy

Huseyin Aktas, PBF Mensink, Ernst Kuipers, Henk van Buuren

Research output: Contribution to journalArticleAcademicpeer-review

24 Citations (Scopus)

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.
Original languageUndefined/Unknown
Pages (from-to)211-213
Number of pages3
JournalEndoscopy
Volume44
Issue number2
DOIs
Publication statusPublished - 2012

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