Abstract | BACKGROUND: OBJECTIVE: Our aim was evaluating of the usefulness of an added second gastrostomy in a PEG-J patient, for: 1. controlling symptomatic reflux and extra-tube leakage; 2. preventing jejunal tube dislocation. Methods We retrospectively evaluated patients were stent palliation of gastric/ duodenal cancer outlet obstruction was not achieved, who were referred and underwent PEG-J. We selected four of these patients who needed a second PEG dedicated to gastric drainage, which was performed a few centimetres apart from the gastrojejunostomy. In order to achieve an efficient gastric drainage and provide the maximum comfort to the patient, the drainage PEG tube could be linked to an ileostomy bag. RESULTS: The four PEG-J cancer patients with longer survival developed symptoms associated with an important gastric residuum. After the drainage gastrostomy, symptoms subsided or vanished and there were no jejunal tube dislocations. CONCLUSIONS: When stenting is not possible in patients with gastric/duodenal outlet obstruction due to cancer growing, feeding PEG-J plus drainage PEG may be an alternative, allowing duodenal/jejunal feeding and gastric drainage with minimal manipulation of the jejunal tube.
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Authors | Jorge Fonseca, Carla Adriana Santos |
Journal | Arquivos de gastroenterologia
(Arq Gastroenterol)
2015 Jan-Mar
Vol. 52
Issue 1
Pg. 72-5
ISSN: 1678-4219 [Electronic] Brazil |
PMID | 26017087
(Publication Type: Journal Article)
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Topics |
- Duodenal Neoplasms
(complications)
- Enteral Nutrition
(methods)
- Gastric Bypass
- Gastric Outlet Obstruction
(etiology, surgery)
- Gastroesophageal Reflux
(prevention & control)
- Gastrointestinal Neoplasms
(complications)
- Gastrostomy
(methods)
- Humans
- Intubation, Gastrointestinal
(adverse effects, methods)
- Jejunostomy
- Palliative Care
(methods)
- Retrospective Studies
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