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Direct Percutaneous Endoscopic Jejunostomy Using Single-Balloon Enteroscopy without Fluoroscopy: a Case Series

dc.contributor.authorBernardes, C
dc.contributor.authorPinho, R
dc.contributor.authorRodrigues, A
dc.contributor.authorProença, L
dc.contributor.authorCarvalho, J
dc.date.accessioned2018-01-30T16:38:10Z
dc.date.available2018-01-30T16:38:10Z
dc.date.issued2017-10
dc.description.abstractBACKGROUND: Direct percutaneous endoscopic jejunostomy (DPEJ) is a useful method to provide enteral nutrition to individuals when gastric feeding is not possible or contraindicated. The aim of this study was to analyze the efficacy and safety of DPEJ tube placement with the Gauderer-Ponsky technique by the pull method, using single-balloon enteroscopy (SBE) without fluoroscopy. METHODS: This is a retrospective analysis of patients undergoing SBE for DPEJ placement in a referral hospital between January 2010 and March 2016. Technical success, clinical success and procedure related complications were recorded. RESULTS: Twenty-three patients were included (17 males, median age 71 years, range 37-93 years). The most frequent indications for DPEJ were gastroesophageal cancer (n = 10) and neurological disease (n = 8). Eighty-seven percent of the patients had a contraindication to percutaneous endoscopic gastrostomy (PEG) and PEG was unsuccessful in the remaining patients. The technical success rate was 83% (19/23), transillumination was not possible in three patients and an accidental exteriorization of the bumper resulting in a jejunal perforation occurred in one patient. The clinical success was 100% (19/19). The median follow-up was five months (range 1-35 months). Apart from the case of jejunal perforation and the two cases of accidental exteriorization, there were no other complications during follow-up. The 6-month survival was 65.8% and the 1-year survival was 49.3%. CONCLUSION: DPEJ can be carried out successfully via SBE without fluoroscopy with a low rate of significant adverse events. Although, leaving the overtube in place during the bumper pulling can be useful for distal jejunal loops, it can be safely removed in proximal loops to minimize complications.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRev Esp Enferm Dig. 2017 Oct;109(10):679-683.pt_PT
dc.identifier.doi10.17235/reed.2017.4717/2016pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2869
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSociedad Española de Patologia Digestivapt_PT
dc.subjectCHLC GASpt_PT
dc.subjectEnteral Nutrition/methodspt_PT
dc.subjectFluoroscopypt_PT
dc.subjectJejunostomy/methodspt_PT
dc.subjectJejunum/diagnostic imagingpt_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectSingle-Balloon Enteroscopy/methods
dc.titleDirect Percutaneous Endoscopic Jejunostomy Using Single-Balloon Enteroscopy without Fluoroscopy: a Case Seriespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage683pt_PT
oaire.citation.issue10pt_PT
oaire.citation.startPage679pt_PT
oaire.citation.titleRevista Espanola de Enfermedades Digestivaspt_PT
oaire.citation.volume109pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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