Korean J Gastrointest Endosc.  2002 Feb;24(2):84-87.

Direct Percutaneous Endoscopic Jejunostomy in a Patient with Previous Subtotal Gastrectomy

• Chu HJ
• Kim GH
• Kang DH
• Song GA
• Cho M
• Yang US

Abstract

It is generally considered that enteral feeding is superior to parenteral nutritional support. Thus enteral meal should be given whenever patients have proper gastrointestinal function to take enteral feeding. Because the morbidity and mortality for surgical jejunostomy have been reported as high as 50% and 10% respectively, direct percutaneous endoscopic jejunostomy has been developed to reduce the morbidity and mortality. A 55-year-old male patient, who was suffering from dysphagia and oropharyngeal aspiration, was transferred to the division of gastroenterology to be done permanent enteral feeding. His stomach was resected (subtotal gastrectomy with billroth II anastomosis) due to peptic ulcer hemorrhage 10 years before. We performed direct percutaneous endoscopic jejunostomy without any complication. Herein, we report a successful case.

MeSH Terms

Deglutition Disorders
Enteral Nutrition
Gastrectomy*
Gastroenterology
Gastroenterostomy
Humans
Jejunostomy*
Male
Meals
Middle Aged
Mortality
Nutritional Support
Peptic Ulcer Hemorrhage
Stomach