Year 2016 / Volume 108 / Number 10
Digestive Diseases Image
Ultrasound-assisted technique for challenging jejunostomy balloon-tube replacements

657-658

Ana Ponte, Rolando Pinho, Sónia Fernandes, Carlos Fernandes, Iolanda Ribeiro, Joana Silva, Jaime Rodrigues, João Carvalho,

Abstract
The authors present a case of a 38-year-old man with a 4-hour history of accidental removal of a jejunostomy balloon-tube replacement (PEG-18-BRT-S, Cook Medical Inc., Bloomington, USA). The patient had undergone a direct percutaneous endoscopic jejunostomy (DPEJ) ten months ago, before chemoradiotherapy treatment for an esophageal squamous-cell carcinoma (uT3N2cM0). His past medical condition included alcoholic liver disease and distal gastrectomy from a life-threatening duodenal bleeding ulcer.
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References
1. Aktas H, Mensink PB, Kuipers EJ et al. Single-balloon enteroscopy-assisted direct percutaneous endoscopic jejunostomy. Endoscopy. 2012;44:210-2.
2. Westaby D, Young A, O'Toole P, et al. The provision of a percutaneously placed enteral tube feeding service. Gut. 2010; 59:1592-605.
3. Velázquez-Aviña J, Beyer R, Díaz-Tobar CP, et al. New method of direct percutaneous endoscopic jejunostomy tube placement using balloon-assisted enteroscopy with fluoroscopy. Dig Endosc. 2015;27:317-22.
4. Pinho RT, Rodrigues MA, Proença ML. Overtubes and fluoroscopy for direct percutaneous endoscopic jejunostomy: useful, although not always needful and sometimes harmful. Dig Endosc. 2015;27:399-400.
5. Ponte A, Pinho R, Carvalho J. Thinking Outside the Box of the Gastrostomy Kit: Stylet-Assisted Technique for Challenging Gastrostomy Tube Replacements. Clin Gastroenterol Hepatol. 2015 Jan 26. pii: S1542-3565(15)00097-X. [Epub ahead of print]
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Ponte A, Pinho R, Fernandes S, Fernandes C, Ribeiro I, Silva J, et all. Ultrasound-assisted technique for challenging jejunostomy balloon-tube replacements. 3974/2015


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Publication history

Received: 13/08/2015

Accepted: 12/09/2015

Published: 30/09/2016

Article revision time: 19 days

Article editing time: 414 days


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