Percutaneous Endoscopic Jejunostomy in a Traumatic Brain Injured Patient with Subtotal Gastrectomy; A case report.
- Author:
Hyun Yoon KO
1
;
Yong Beom SHIN
;
Jae Heung PARK
;
Hyun Choong LEE
;
Hyun Joo SON
Author Information
1. Department of Rehabilitation Medicine, Pusan National University College of Medicine, Korea. yi0314@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Percutaneous endoscopic jejunostomy;
Gastroesophageal reflux;
Traumatic brain injury
- MeSH:
Brain Injuries;
Brain*;
Gastrectomy*;
Gastric Stump;
Gastroesophageal Reflux;
Gastrostomy;
Humans;
Jejunostomy*;
Middle Aged;
Nutritional Support;
Pneumonia, Aspiration
- From:Journal of the Korean Academy of Rehabilitation Medicine
2003;27(5):795-798
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
To present a case of Percutaneous Endoscopic Jejunostomy in traumatic brain injured patient with subtotal gastrectomy. A 54-year-old man who injured a left subdural and intraventricular hemorrage by a falling. The patient had a history of the subtotal gastrectomy and suffered significant gastroesophageal reflux and recurrent aspiration pneumonia during nasogastric tubal feeding. The traditional Percutaneous Endoscopic Gastrostomy was inappropriate procedure for him because of significant alteration of gastric anatomy, insufficient volume of remnant stomach, and continuous gastroesophageal reflux. Direct percutaneous endoscopic placement of a jejunostomy tube was performed and we provide adequate enteral nutritional support in a traumatic brain injured patient with subtotal gastrectomy and gastroesophageal reflux.
