Percutaneous endoscopic jejunostomy in patients with gastroparesis following lung transplantation: feasibility and clinical outcome.

Abstract

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.

• Authors: E Toussaint, A Van Gossum, A Ballarin, O Le Moine, M Estenne, C Knoop, J Devière, M Arvanitakis
• Journal: Endoscopy (Endoscopy) Vol. 44 Issue 8 Pg. 772-5 (Aug 2012) ISSN: 1438-8812 [Electronic] Germany
• PMID: 22833022 (Publication Type: Comparative Study, Journal Article)

Topics

• Adult
• Aged
• Endoscopy, Gastrointestinal (methods)
• Feasibility Studies
• Female
• Follow-Up Studies
• Gastroparesis (etiology, surgery)
• Humans
• Jejunostomy (methods)
• Lung Transplantation (adverse effects)
• Male
• Middle Aged
• Retrospective Studies
• Treatment Outcome