Gastro-esophageal Reflux Successfully Treated with Transgastrostomal Jejunal Tube Feeding.

Kanie, Jiro; Kono, Kazuhiko; Yamamoto, Takayuki; Akatsu, H.; Iguchi, Akihisa

doi:10.3143/geriatrics.34.60

Cited by 3 publications

(1 citation statement)

References 2 publications

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“…PEG feeding is accompanied by unique complications, which occur over a long-term clinical course [1][2][3]. An increase in vomiting is one of the most common complications [4].…”

Section: Discussionmentioning

confidence: 99%

Prevention of Late Complications by Half-Solid Enteral Nutrients in Percutaneous Endoscopic Gastrostomy Tube Feeding

et al. 2004

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Background: Percutaneous endoscopic gastrostomy feeding is accompanied by unique complications, which are not easily controlled. Objective: In an attempt to decrease complications, we used half-solid nutrients for percutaneous endoscopic gastrostomy feeding in an 85-year-old woman. The patient had been receiving enteral nutrients via percutaneous endoscopic gastrostomy, and we examined whether this approach can reduce complications. She presented with regurgitation of enteral nutrients and recurrent respiratory infections. Methods: Half-solid enteral nutrients, prepared by mixing liquid enteral nutrients with agar powder, were administered via percutaneous endoscopic gastrostomy. Results: Symptoms of gastroesophageal reflux disappeared immediately after the start of half-solid enteral nutrient feeding. Conclusion: Gastroesophageal reflux and leakage, two intractable late complications of percutaneous endoscopic gastrostomy tube feeding, can be alleviated by the solidification of enteral nutrients. Since this method allows quick administration of nutrients, it is also expected to help prevent the occurrence of decubitus ulcers and reduce the burden to the caregiver.

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“…PEG feeding is accompanied by unique complications, which occur over a long-term clinical course [1][2][3]. An increase in vomiting is one of the most common complications [4].…”

Section: Discussionmentioning

confidence: 99%

Prevention of Late Complications by Half-Solid Enteral Nutrients in Percutaneous Endoscopic Gastrostomy Tube Feeding

et al. 2004

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Complications Following Percutaneous Endoscopic Gastrostomy: Acute Respiratory Infection and Local Skin Infection

Kanie

Shimokata²,

Akatsu

et al. 1998

Digestive Endoscopy

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Few studies of percutaneous endoscopic gastrostomy (PEG) have evaluated the effects of antibiotic prophylaxis, PEG placement technique and early PEG feeding on acute postoperative complications. In this retrospective study, we investigated associations between postoperative management of PEG and complications of infection. The medical records of 271 patients were included in this study. Administration of antibiotics, early and delayed enteral feeding, and PEG placement technique were analyzed as risk factors for infectious complications. The rate of local skin infection correlated with early PEG feeding, but there was no difference in the rate of local skin infection due to postoperative administration of antibiotics. Early feeding with the usual enteral formula was a strong risk factor for local skin infection. The rate of local skin infection was higher in the "Push/Pull" technique than the "Introducer" technique. As for aspiration, the rate of complication was lower in groups with postoperative administration of antibiotics than in groups without administration of antibiotics, but there was no association between aspiration and early feeding or PEG placement technique. Local skin infection correlated with early postoperative feeding and was not correlated with antibiotic prophylaxis. However, the administration of antibiotics is recommended for the prevention of aspiration. (Dig Endosc 1998 ; 10 : 205-2 10)

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Successive application of percutaneous endoscopic gastrostomy with jejunal extension and percutaneous endoscopic jejunostomy in a case of multiple system atrophy

Ogawa

Oodaira²,

Suzuki³

et al. 2009

Rinsho Shinkeigaku

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A 75-year-old man with multiple system atrophy received percutaneous endoscopic gastrostomy (PEG) because of dysphagia. But recurrent aspiration pneumonia occurred after PEG nutrition, which was due to gastroesophageal reflux. As he had floppy epiglottis, orally inserted endoscopic procedure caused upper airway obstruction, which required transient non-invasive positive-pressure ventilator (NIPPV) treatment. He underwent transgastrostomal jejunal tube (PEG-J) replacement under the nasal endoscopic guidance successfully, but tube was patent only for 5-months. Thereafter, endoscopic jejunostomy (PEJ) via gastric stoma was performed on NIPPV safely, and the patient is now stable. For the management of nutrition in the advanced stage of neurodegenerative disease patients, PEJ is one of useful choice.

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Gastro-esophageal Reflux Successfully Treated with Transgastrostomal Jejunal Tube Feeding.

Cited by 3 publications

References 2 publications

Prevention of Late Complications by Half-Solid Enteral Nutrients in Percutaneous Endoscopic Gastrostomy Tube Feeding

Prevention of Late Complications by Half-Solid Enteral Nutrients in Percutaneous Endoscopic Gastrostomy Tube Feeding

Complications Following Percutaneous Endoscopic Gastrostomy: Acute Respiratory Infection and Local Skin Infection

Successive application of percutaneous endoscopic gastrostomy with jejunal extension and percutaneous endoscopic jejunostomy in a case of multiple system atrophy

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