Medicine Department, Jules Bordet Institute, 1 rue Heger-Bordet, Brussels, Belgium.
Endoscopy. 2012 Aug;44(8):772-5. doi: 10.1055/s-0032-1309735. Epub 2012 Jul 25.
The aim of the present study was to describe success rates, complications, and outcome in patients who underwent percutaneous endoscopic jejunostomy (PEJ) because of gastroparesis due to previous lung transplantation. Between October 2008 and May 2011, 14 attempts at PEJ placement were made in 12 patients in our center. Of the 14 attempts, 11 were successful, giving a technical success rate of 78.6 %. Median duration of followup was8.5 months (2–15 months). No immediate complications were reported. Two severe complications occurred during follow up (one volvulus and one jejunocolic fistula). Jejunal nutrition was well tolerated in most of patients (9 /10). PEJ insertion is a feasible technique, which could help to provide nutritional support for patients with gastroparesis and previous lung transplantation.
本研究的目的在于描述因既往肺移植后胃轻瘫而行经皮内镜空肠造口术(PEJ)的患者的成功率、并发症和结局。2008 年 10 月至 2011 年 5 月期间,我们中心对 12 名患者进行了 14 次 PEJ 置管尝试,其中 11 次成功,技术成功率为 78.6%。中位随访时间为 8.5 个月(2-15 个月)。无即刻并发症发生。在随访期间发生了 2 例严重并发症(1 例肠扭转,1 例空肠结肠瘘)。大多数患者(9/10)对空肠营养耐受良好。PEJ 置管是一种可行的技术,可帮助为既往肺移植后胃轻瘫的患者提供营养支持。