Temporary Percutaneous Endoscopic Gastrojejunostomy : A case report.
- Author:
Jea Heung PARK
1
;
Hyun Joo SOHN
;
Ji Sang PARK
Author Information
1. Department of Rehabilitation Medicine, Pusan National University College of Medicine, Korea.
- Publication Type:Case Report
- Keywords:
Gastroesophageal reflux;
Percutaneous endoscopic gastrojejunostomy
- MeSH:
Deglutition;
Deglutition Disorders;
Gastric Bypass*;
Gastroesophageal Reflux;
Gastrostomy;
Humans;
Jejunum;
Lacerations;
Middle Aged;
Neck;
Nutritional Support;
Parenteral Nutrition, Total;
Peptic Ulcer Perforation;
Vagotomy;
Vagus Nerve Injuries
- From:Journal of the Korean Academy of Rehabilitation Medicine
2006;30(3):282-285
- CountryRepublic of Korea
- Language:Korean
-
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 intolerance were 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.