J Korean Acad Rehabil Med.  2006 Jun;30(3):282-285.

Temporary Percutaneous Endoscopic Gastrojejunostomy : A case report

Affiliations
  • 1Department of Rehabilitation Medicine, Pusan National University College of Medicine, Korea.

Abstract

We reported a 56-year-old man who presented with vagus nerve injury after deep laceration in the neck. During being treated the neck insult, he was performed pyloplasty and vagotomy and used total parenteral nutrition due to peptic ulcer perforation and panperitonitis. He suffered from swallowing difficulty and underwent percutaneous endoscopic gastrostomy placement. As formerly, recurrent gastroesophageal reflux symptoms and gastric feeding intolerance were developed. We fixed a transgastrostomal jejunal tube in jejunum through the gastric stoma. The gastroeophageal reflux and feeding intolerance did not recur. After 30 days later, jejunal tube was removed, nutritional support was replaced by gastric tube. We were able to provide a temporary nutritional bridge with percutaneous endoscopic gastrojejunostomy placement for patients who suffered from dysphagia.

Keyword

Gastroesophageal reflux; Percutaneous endoscopic gastrojejunostomy

MeSH Terms

Deglutition
Deglutition Disorders
Gastric Bypass*
Gastroesophageal Reflux
Gastrostomy
Humans
Jejunum
Lacerations
Middle Aged
Neck
Nutritional Support
Parenteral Nutrition, Total
Peptic Ulcer Perforation
Vagotomy
Vagus Nerve Injuries
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