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Enteral access by double-balloon enteroscopy: an alternative method of direct percutaneous endoscopic jejunostomy placement.

Abstract：

BACKGROUND:Although direct percutaneous endoscopic jejunal feeding tube placement is an increasingly accepted method of providing small-bowel access for long-term enteral nutrition, it is reliant on push enteroscopy and remains a technically challenging procedure with significant failure rates. Double-balloon enteroscopy, with its ability to provide controlled small-bowel intubation may facilitate direct percutaneous endoscopic jejunal tube placement. AIMS AND METHODS:We report a prospective series of ten consecutive cases of double-balloon enteroscopy-assisted direct percutaneous endoscopic jejunal placement, accompanied by a step-by-step illustrated overview of the technique. RESULTS:Direct percutaneous endoscopic jejunal tube placement by double-balloon enteroscopy was successful in nine of the ten attempted cases. In the first case, direct percutaneous endoscopic jejunal placement was abandoned due to inadequate transillumination; there were no procedure-related complications in any of our patients. CONCLUSIONS:This first reported prospective case series of double-balloon enteroscopy-assisted direct percutaneous endoscopic jejunal placement shows a promisingly high success rate; larger comparative studies are required to clearly establish any advantages over the originally described push enteroscopy method.

journal_name

Dig Dis Sci

journal_title

Digestive diseases and sciences

authors

Despott EJ,Gabe S,Tripoli E,Konieczko K,Fraser C

doi

10.1007/s10620-010-1306-2

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

494-8

issue

2

eissn

0163-2116

issn

1573-2568

journal_volume

56

pub_type

杂志文章

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