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Percutaneous endoscopic gastrostomy with jejunal extension: a new technique.
Am J Gastroenterol. 1992 Jun; 87(6):725-8.AJ

Abstract

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.

Authors+Show Affiliations

Department of Surgery, University of Texas Medical School, Houston.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1590308

Citation

MacFadyen, B V., et al. "Percutaneous Endoscopic Gastrostomy With Jejunal Extension: a New Technique." The American Journal of Gastroenterology, vol. 87, no. 6, 1992, pp. 725-8.
MacFadyen BV, Catalano MF, Raijman I, et al. Percutaneous endoscopic gastrostomy with jejunal extension: a new technique. Am J Gastroenterol. 1992;87(6):725-8.
MacFadyen, B. V., Catalano, M. F., Raijman, I., & Ghobrial, R. (1992). Percutaneous endoscopic gastrostomy with jejunal extension: a new technique. The American Journal of Gastroenterology, 87(6), 725-8.
MacFadyen BV, et al. Percutaneous Endoscopic Gastrostomy With Jejunal Extension: a New Technique. Am J Gastroenterol. 1992;87(6):725-8. PubMed PMID: 1590308.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Percutaneous endoscopic gastrostomy with jejunal extension: a new technique. AU - MacFadyen,B V,Jr AU - Catalano,M F, AU - Raijman,I, AU - Ghobrial,R, PY - 1992/6/11/pubmed PY - 2001/3/28/medline PY - 1992/6/11/entrez SP - 725 EP - 8 JF - The American journal of gastroenterology JO - Am J Gastroenterol VL - 87 IS - 6 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. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/1590308/Percutaneous_endoscopic_gastrostomy_with_jejunal_extension:_a_new_technique_ L2 - https://antibodies.cancer.gov/detail/CPTC-MET-1 DB - PRIME DP - Unbound Medicine ER -