Esophageal Cancer Stenosis Using PEG-J Catheter for Nutrition Management and Esophageal Decompression

Ohta, Shingo; Kobayashi, Hirotoshi; Kikuchi, Toru; Yamashita, Yamato; Kitamura, Kei; Orita, H; Masuda, Taiki; Motohashi, Hideaki

doi:10.5833/jjgs.2019.0013

Cited by 1 publication

(1 citation statement)

References 14 publications

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“…We found no English‐language reports of any similar procedures in PubMed up to May 2023 using the keywords “retrograde,” “PEG‐J,” and “esophageal cancer”; however, we found a report on the same management approach written in Japanese, 10 but while it presented the efficacy of this procedure using a PEG‐J it lacked sufficient tube insertion procedure details.…”

Section: Discussionmentioning

confidence: 89%

Retrograde transgastric jejunostomy for nutritional management and aspiration prevention in cases with severe malignant esophageal strictures

Yamashita,

Otsuka,

Goto

et al. 2023

DEN Open

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Locally advanced esophageal cancer often presents with dysphagia and can be complicated by aspiration pneumonia. Therefore, nutritional management is important to prevent pneumonia. Enteral nutrition via gastrostomies is common in esophageal cancer patients. Here, we describe the efficacy of nutritional management using a gastrojejunostomy tube retrogradely inserted in the esophagus through gastrostomy to simultaneously drain accumulated fluid on the proximal side of a malignant stricture. We performed this procedure for two cases with severe malignant strictures using two types of endoscope insertion. A 57‐year‐old male patient (Case 1) underwent a retrograde insertion of a gastrojejunostomy tube for severe esophageal malignant stricture with severe nausea and salivary reflux. After a narrow endoscope was inserted through the gastrostomy fistula, a gastrojejunostomy tube was inserted alongside a guidewire allowing the patient to undergo definitive chemoradiotherapy without symptoms. An 82‐year‐old male patient (Case 2) was scheduled for a minimally invasive esophagectomy following neoadjuvant chemotherapy after gastrostomy. However, the patient developed aspiration pneumonia due to salivary reflux; before surgery, a narrow nasal endoscope was inserted and passed through the strictures. The percutaneous endoscopic transgastric jejunostomy catheter was retrogradely inserted alongside the guidewire. In patients with malignant strictures and salivary reflux, retrograde insertion of gastrojejunostomy tubes can simultaneously provide enteral nutrition and saliva drainage.

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Section: Discussionmentioning

confidence: 89%