Endoscopic approaches to enteral nutritional support

DiSario, James A.

doi:10.1016/j.bpg.2006.02.002

Cited by 82 publications

(70 citation statements)

References 111 publications

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“…In patients with previous gastric surgery, however, where PEG tube placement is not possible or in circumstances where PEG feeding is associated with recurrent aspiration of gastric contents (such as in patients with chronic gastroparesis or gut dysmotility), jejunal feeding may be preferred [1,[3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 98%

“…In clinical scenarios, where long-term enteral nutritional support is required, access to the gastrointestinal tract (GIT) is usually provided by an endoscopically placed percutaneous endoscopic gastrostomy (PEG) feeding tube [1,2]. In patients with previous gastric surgery, however, where PEG tube placement is not possible or in circumstances where PEG feeding is associated with recurrent aspiration of gastric contents (such as in patients with chronic gastroparesis or gut dysmotility), jejunal feeding may be preferred [1,[3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

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Enteral Access by Double-Balloon Enteroscopy: An Alternative Method of Direct Percutaneous Endoscopic Jejunostomy Placement

et al. 2010

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Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Enteral Access by Double-Balloon Enteroscopy: An Alternative Method of Direct Percutaneous Endoscopic Jejunostomy Placement

et al. 2010

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“…Enteral feeding via a percutaneously placed device provides adequate nutritional support for individuals who are unable to maintain oral intake (1,2). Gastric feeding with a percutaneous endoscopic gastrostomy (PEG) is usually the preferred method for long term enteral nutrition.…”

Section: Introductionmentioning

confidence: 99%

Direct percutaneous endoscopic jejunostomy using single-balloon enteroscopy without fluoroscopy: a case series

et al. 2017

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Background: Direct percutaneous endoscopic jejunostomy (DPEJ) is a useful method to provide enteral nutrition to individuals when gastric feeding is not possible or contraindicated. The aim of this study was to analyze the efficacy and safety of DPEJ tube placement with the Gauderer-Ponsky technique by the pull method, using single-balloon enteroscopy (SBE) without fluoroscopy.Methods: This is a retrospective analysis of patients undergoing SBE for DPEJ placement in a referral hospital between January 2010 and March 2016. Technical success, clinical success and procedure related complications were recorded.Results: Twenty-three patients were included (17 males, median age 71 years, range 37-93 years). The most frequent indications for DPEJ were gastroesophageal cancer (n = 10) and neurological disease (n = 8). Eighty-seven percent of the patients had a contraindication to percutaneous endoscopic gastrostomy (PEG) and PEG was unsuccessful in the remaining patients. The technical success rate was 83% (19/23), transillumination was not possible in three patients and an accidental exteriorization of the bumper resulting in a jejunal perforation occurred in one patient. The clinical success was 100% (19/19). The median follow-up was five months (range 1-35 months). Apart from the case of jejunal perforation and the two cases of accidental exteriorization, there were no other complications during follow-up. The 6-month survival was 65.8% and the 1-year survival was 49.3%.Conclusion: DPEJ can be carried out successfully via SBE without fluoroscopy with a low rate of significant adverse events. Although, leaving the overtube in place during the bumper pulling can be useful for distal jejunal loops, it can be safely removed in proximal loops to minimize complications.

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“…In order to provide a correct flow of enteral diet to the small intestine, and lower regurgitation or aspiration, diet must be delivered beyond the Treitz angle. Thus, PEG-J is still the better option for these patients 3 . Also, PEG-J allows for gastric suction to reduce regurgitation.…”

Section: Discussionmentioning

confidence: 99%

“…PEG-J is usually indicated for patients with severe gastroparesis, with gastrostomy but with severe gastro-esophageal reflux, and recurrent aspiration pneumonia 3 . Several PEG-J techniques have been described in literature, with many technical variations and different impacts on success rates.…”

Section: Introductionmentioning

confidence: 99%

Técnica modificada para realização da gastro-jejunostomia endoscópica percutânea

Ruiz

Franco

Júnior

et al. 2017

Rev. Col. Bras. Cir.

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RESUMO A realização da gastro-jejunostomia endoscópica percutânea (PEG-J) proporciona nutrição além do ângulo de Treitz, e está associada à diminuição das complicações relacionadas à gastroparesia, como a pneumonia por aspiração. Existem diversas técnicas para realização da PEG-J descritas na literatura, com graus variáveis de sucesso técnico. Neste artigo propomos modificações na técnica de realização da PEG-J, a fim de reduzir o tempo do procedimento e minimizar o risco de insucesso.

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Endoscopic approaches to enteral nutritional support

Cited by 82 publications

References 111 publications

Enteral Access by Double-Balloon Enteroscopy: An Alternative Method of Direct Percutaneous Endoscopic Jejunostomy Placement

Enteral Access by Double-Balloon Enteroscopy: An Alternative Method of Direct Percutaneous Endoscopic Jejunostomy Placement

Direct percutaneous endoscopic jejunostomy using single-balloon enteroscopy without fluoroscopy: a case series

Técnica modificada para realização da gastro-jejunostomia endoscópica percutânea

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