Endoscopically Guided Laparoscopic Gastrojejunostomy Tube Placement for Patients with Distal Esophageal Stents

Marlieke E. Nussenbaum, Edward Y. Chan, Min P. Kim, Puja G. Khaitan

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Patients with distal esophageal pathology such as perforation, trachea-esophageal fistulae, and/ or obstructing gastroesophageal junction tumor present a challenging situation in terms of feeding access where an esophageal stent is placed across the gastroesophageal junction. In order to allow simultaneous gastric decompression and post-pyloric feeds without significant reflux up through the stent, a gastrojejunostomy (GJ) tube is a viable option. We hereby describe a hybrid approach to placing these GJ tubes in this cohort of patients using simultaneous laparoscopy, endoscopy, and fluoroscopy with minimal manipulation of the stent itself. We have employed this technique of placing GJ tubes 2–3 days following placement of the esophageal stent in six consecutive patients. All patients tolerated the procedure well without any complications. Endoscopically guided laparoscopic GJ tubes are ideal for bridging patients, with distal esophageal pathology requiring esophageal stents, to oral intake.

Original languageEnglish (US)
Pages (from-to)1350-1353
Number of pages4
JournalJournal of Gastrointestinal Surgery
Volume21
Issue number8
DOIs
StatePublished - Aug 1 2017

Keywords

  • Esophageal perforation
  • Esophageal stents
  • Feeding access (gastrojejunostomy tube placement)

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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