Westfall S H, Andrus C H, Naunheim K S
Department of Surgery, University Hospital, St. Louis University Medical Center, Missouri 63110-0250.
Am Surg. 1990 Mar;56(3):141-3.
Patients undergoing esophagogastrectomy for cancer often benefit from postoperative nutritional support and an operative jejunostomy is frequently placed at the time of surgery. If the original tube has been removed, replacement of this jejunostomy previously required repeat laparotomy. Described here is the technique of direct percutaneous endoscopic jejunostomy placement (PEJ) used in two such patients following esophagogastrectomy. This PEJ placement technique using a #16-Fr, Pezzer-type Ponsky tube is an easy, reproducible method for the replacement of an operative jejunostomy tube. The fibrosed tract between the abdominal wall and jejunum allows the safe performance of the procedure if one endoscopically identifies the site of operative insertion.
因癌症接受食管胃切除术的患者通常受益于术后营养支持，手术时常常会放置空肠造口术导管。如果原来的导管已拔除，此前更换这种空肠造口术导管需要再次开腹手术。本文描述了在两名食管胃切除术后患者中使用的直接经皮内镜下空肠造口术（PEJ）放置技术。这种使用16F佩泽型庞斯基导管的PEJ放置技术是一种简单、可重复的更换手术空肠造口术导管的方法。如果在内镜下确定手术插入部位，腹壁和空肠之间的纤维化通道可使该手术安全进行。
