Percutaneous Endoscopic Gastrostomy with Jejunal Extension: A New Technique Academic Article Article uri icon

Overview

MeSH Major

  • Arterio-Arterial Fistula
  • Coronary Aneurysm
  • Coronary Vessel Anomalies
  • Incidental Findings

abstract

  • Percutaneous endoscopic gastrostomies (PEG) with jejunal extensions are placed in patients at risk for aspiration of gastric contents. Current methods used are difficult and often ineffective in preventing aspiration, and frequently result in substantial morbidity and mortality. In this study, a new method of jejunal extension from a PEG was evaluated with regard to efficacy and prevention of aspiration of gastric contents while providing adequate enteral nutrition. Twelve patients with recent aspiration pneumonitis underwent PEG placement with a jejunal extension by this new method. The technique was accomplished rapidly and without difficulty in an average time of 26.2 min (range 17-31 min). In all instances, the jejunal extension remained functional for the first 8 wk after placement, and there were no instances of aspiration of gastric contents while nutritional requirements were met. None of the patients died from complications of the procedure. The method described was effective in preventing aspiration of gastric contents, was easily performed, and was associated with minimal complications.

publication date

  • January 1992

Research

keywords

  • Academic Article

Identity

Digital Object Identifier (DOI)

  • 10.1111/j.1572-0241.1992.tb11994.x

PubMed ID

  • 1590308

Additional Document Info

start page

  • 725

end page

  • 8

volume

  • 87

number

  • 6