Pediatric percutaneous endoscopic jejunostomy by J-tube extension through a preexisting gastrostomy site: A preliminary report
Journal
Journal of the Formosan Medical Association
Journal Volume
97
Journal Issue
12
Pages
873-876
Date Issued
1998
Author(s)
Abstract
A prematurely born 5-year-old boy with chronic lung disease, hypoxic- ischemic encephalopathy, cerebral palsy, repeated aspiration pneumonia, and stroke underwent percutaneous endoscopic jejunostomy (PEJ) to alleviate repeated aspiration pneumonia. Studies, including 24-hour esophageal pH monitoring, 99mTc gastric emptying time, upper gastroesophageal barium radiography, and endoscopic examinations showed severe gastroesophageal reflux and prolonged gastric emptying. Percutaneous endoscopic gastrostomy (PEG) was performed first, followed by placement of a polyurethane J-tube (9 French) through the preexisting gastrostomy site. We passed the stylet- guided J-tube through the pyloric ring endoscopically and advanced it to the jejunum. The position of the J-tube was confirmed by radiologic study. Feeding with an elemental formula, 20 mL/hour, commenced immediately after the procedure, and the rate was gradually increased to 50 mL/hour. No further episodes of aspiration pneumonia have occurred since J-tube placement. Our initial experience with jejunal feeding through a PEJ is encouraging.
SDGs
Other Subjects
barium; phytate tc 99m; polyurethan; article; aspiration pneumonia; case report; cerebral palsy; child; endoscopic surgery; esophagus pH; gastroesophageal reflux; gastrostomy; human; jejunostomy; male; radiography; stomach emptying; tube; Child, Preschool; Endoscopy, Gastrointestinal; Gastrostomy; Humans; Jejunostomy; Male
Type
journal article