Percutaneous Endoscopic Gastro/Duodeno/Jejunostomy for Elderly Patients after Gastrectomy

Abstract

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Percutaneous endoscopic jejunostomy: when, how, and when to avoid it

“…However, we believe that using a paediatric colono-scope offers the advantage of a more stable endo-scopic position as well as the possibility to assess jejunal loops that are found more distally to the ligament of Treitz. Recently, there have been many reports in the literature about the safety and efficac-ity of single-balloon or doubleballoon procedures (with or without the use of an overtube and with or without the concomitant use of fluoroscopy) as an alternative endoscopic method to perform DPEJ [16][17][18][19], while salvage methods of endoscopic ultrasound-guided, computer tomography-guided, or transcutaneous ultrasound-guided DPEJ placement have also been described as case reports [20][21][22][23]. In our practice, we do not use neither fluoroscopy nor jejunopexy during DPEJ insertion, since they increase technical complexity and demand additional resources in terms of personnel and time.…”