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Percutaneous Endoscopic Gastrostomy, Duodenostomy and Jejunostomy for Alimentation in Gastrectomized Patients
Author(s) -
NISHIGUCHI Yukio,
YOSHIKAWA Kazuhiko,
ARIMOTO Yuichi,
TAKEUCHI Kazuhiro,
YAMASHITA Yoshito,
SHIGESAWA Akira,
NISHIMURA Shigehiko,
SAWADA Ryugo,
OGAWA Masafumi,
YUKIMOTO Kiyotaka,
FUYUHIRO Yuichi,
LEE JaeTo,
KANG SoonMyoung,
BABA Mitsuru,
SOWA Michio
Publication year - 1995
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1995.tb00137.x
Subject(s) - medicine , percutaneous endoscopic gastrostomy , surgery , jejunostomy , gastrectomy , esophagectomy , gastrostomy , percutaneous , feeding tube , gastropexy , parenteral nutrition , swallowing , general surgery , enteral administration , peg ratio , stomach , esophageal cancer , cancer , finance , economics
Percutaneous Endoscopic Gastrostomy (PEG) which can be accomplished with local anesthesia and without the necessity for laparotomy is now gaining popularity as a clinical treatment for patients who have difficulties in swallowing and require long term nutritional support but have an intact gut. A total of 40 patients underwent percutaneous endoscopic placement of a feeding tube in our clinic. They included 37 patients who had had PEG, 1 Percutaneous Endoscopic Duodenostomy (PED) and 2 Percutaneous Endoscopic Jejunostomy (PEJ). Of these patients, 3 had previously had a partial gastrectomy and 1 had had an esophagectomy with esophago‐jejunostomy. Three patients who had undergone a previous partial gastrectomy received different procedures; 1 PEG, 1 PED and 1 PEJ, which were considered to be most appropriate for each patient. One patient with a previous esophagectomy had a PEJ. PEG, PED and PEJ for the patients who had previously undergone a gastrectomy were successfully done with great care. Our experience suggests that PEG, PED or PEJ are rapid, safe and useful procedures for patients who are a poor anesthetic or poor operative risk and can be used even for patients who have undergone previous surgery.