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Novel endoscopic triangulation approach to percutaneous transgastric placement of jejunal extension feeding tube.
South Med J. 2010 Dec; 103(12):1243-5.SM

Abstract

In patients who have surgically-altered upper gastrointestinal anatomy, postoperative endoscopic enteral nutrition options can be limited by issues such as bowel stenosis and/or acute angulation. This report details the use of an endoscopic triangulation method combining per-oral and percutaneous transgastric approaches to overcome an efferent gastrojejunostomy limb stenosis, to successfully place a jejunal extension feeding tube through a newly placed PEG site. This description provides an alternative endoscopically feasible option for successful enteral nutrition access, thus obviating the need for additional operations to place surgical feeding tubes or to commit patients to long-term total parenteral nutrition.

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Authors+Show Affiliations

Chennat J
Center for Endoscopic Research and Therapeutics (CERT), Department of Medicine, University of Chicago Medical Center, Chicago, IL 60637, USA. jchennat1@uchicago.edu
Khan N
No affiliation info available
Waxman I
No affiliation info available
Semrad CE
No affiliation info available

MeSH

AdenocarcinomaEndoscopy, GastrointestinalEnteral NutritionFemaleGastrostomyHumansJejunostomyJejunumMiddle AgedPancreatic NeoplasmsStomach

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21037514

Citation

Chennat, Jennifer, et al. "Novel Endoscopic Triangulation Approach to Percutaneous Transgastric Placement of Jejunal Extension Feeding Tube." Southern Medical Journal, vol. 103, no. 12, 2010, pp. 1243-5.
Chennat J, Khan N, Waxman I, et al. Novel endoscopic triangulation approach to percutaneous transgastric placement of jejunal extension feeding tube. South Med J. 2010;103(12):1243-5.
Chennat, J., Khan, N., Waxman, I., & Semrad, C. E. (2010). Novel endoscopic triangulation approach to percutaneous transgastric placement of jejunal extension feeding tube. Southern Medical Journal, 103(12), 1243-5. https://doi.org/10.1097/SMJ.0b013e3181faf0fb
Chennat J, et al. Novel Endoscopic Triangulation Approach to Percutaneous Transgastric Placement of Jejunal Extension Feeding Tube. South Med J. 2010;103(12):1243-5. PubMed PMID: 21037514.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Novel endoscopic triangulation approach to percutaneous transgastric placement of jejunal extension feeding tube. AU - Chennat,Jennifer, AU - Khan,Naser, AU - Waxman,Irving, AU - Semrad,Carol E, PY - 2010/11/2/entrez PY - 2010/11/3/pubmed PY - 2010/12/14/medline SP - 1243 EP - 5 JF - Southern medical journal JO - South Med J VL - 103 IS - 12 N2 - In patients who have surgically-altered upper gastrointestinal anatomy, postoperative endoscopic enteral nutrition options can be limited by issues such as bowel stenosis and/or acute angulation. This report details the use of an endoscopic triangulation method combining per-oral and percutaneous transgastric approaches to overcome an efferent gastrojejunostomy limb stenosis, to successfully place a jejunal extension feeding tube through a newly placed PEG site. This description provides an alternative endoscopically feasible option for successful enteral nutrition access, thus obviating the need for additional operations to place surgical feeding tubes or to commit patients to long-term total parenteral nutrition. SN - 1541-8243 UR - https://www.unboundmedicine.com/medline/citation/21037514/Novel_endoscopic_triangulation_approach_to_percutaneous_transgastric_placement_of_jejunal_extension_feeding_tube_ L2 - http://dx.doi.org/10.1097/SMJ.0b013e3181faf0fb DB - PRIME DP - Unbound Medicine ER -