Temporary Percutaneous Endoscopic Gastrojejunostomy : A case report.

, Park, Jea Heung; , Sohn, Hyun Joo; , Park, Ji Sang

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2006;30(3):282-285.

Park, Jea Heung , Sohn, Hyun Joo , Park, Ji Sang

Department of Rehabilitation Medicine, Pusan National University College of Medicine, Korea.

일시적 경피적 내시경하 위공장루술 ⁣증례 보고⁣

박재흥, 손현주, 박지상

부산대학교 의과대학 재활의학교실

Abstract

We reported a 56-year-old man who presented with vagus nerve injury after deep laceration in the neck. During being treated the neck insult, he was performed pyloplasty and vagotomy and used total parenteral nutrition due to peptic ulcer perforation and panperitonitis. He suffered from swallowing difficulty and underwent percutaneous endoscopic gastrostomy placement. As formerly, recurrent gastroesophageal reflux symptoms and gastric feeding intolerancewere developed. We fixed a transgastrostomal jejunal tube in jejunum through the gastric stoma. The gastroeophageal reflux and feeding intolerance did not recur. After 30 days later, jejunal tube was removed, nutritional support was replaced by gastric tube. We were able to provide a temporary nutritional bridge with percutaneous endoscopic gastrojejunostomy placement for patients who suffered from dysphagia. (J Korean Acad Rehab Med 2006; 30: 282-285)

Key Words: Gastroesophageal reflux, Percutaneous endoscopic gastrojejunostomy