TY - JOUR
T1 - Percutaneous Endoscopic Gastrostomy with Jejunal Extension
T2 - A New Technique
AU - MacFadyen, Bruce V.
AU - Catalano, Marc F.
AU - Raijman, Isaac
AU - Ghobrial, R. Mark
PY - 1992/1/1
Y1 - 1992/1/1
N2 - 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.
AB - 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.
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U2 - 10.1111/j.1572-0241.1992.tb11994.x
DO - 10.1111/j.1572-0241.1992.tb11994.x
M3 - Article
C2 - 1590308
AN - SCOPUS:0026554656
SN - 0002-9270
VL - 87
SP - 725
EP - 728
JO - The American Journal of Gastroenterology
JF - The American Journal of Gastroenterology
IS - 6
ER -