Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Endoscopy. 2012 Feb;44(2):210-2. doi: 10.1055/s-0031-1291442. Epub 2012 Jan 23.
Direct percutaneous endoscopic jejunostomy (DPEJ) has emerged as a viable alternative for percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) in patients who cannot tolerate gastric feeding. Reportedly, DPEJ placement with regular endoscopes fails in up to one-third of cases. The aim of the current study was to assess the efficacy and safety of single-balloon enteroscopy (SBE)-assisted DPEJ. The DPEJ placement technique was comparable to conventional PEG placement. A total of 12 DPEJ procedures were performed in 11 patients (mean age 55 years [range 24-83 years]; seven males). SBE-assisted DPEJ was successful in 11 of the 12 procedures (92%). Post-procedural complications included gastroparesis and aspiration pneumonia in one case each. We conclude that SBE-assisted DPEJ placement seems a safe and successful approach for patients requiring jejunal enteral feeding.
直接经皮内镜空肠造口术（DPEJ）已成为不能耐受胃饲患者经皮内镜胃造口空肠延长术（PEG-J）的可行替代方法。据报道，使用常规内镜进行 DPEJ 放置的失败率高达三分之一。本研究旨在评估单球囊小肠镜（SBE）辅助 DPEJ 的疗效和安全性。DPEJ 的放置技术与传统 PEG 放置相似。在 11 例患者（平均年龄 55 岁[范围 24-83 岁]；7 名男性）中进行了 12 例 DPEJ 手术。12 例中有 11 例（92%）SBE 辅助 DPEJ 成功。术后并发症包括胃轻瘫和吸入性肺炎各 1 例。我们得出结论，SBE 辅助 DPEJ 放置对于需要肠内喂养的患者来说是一种安全且成功的方法。
