Duodenal Decubitus Ulcer Caused by Percutaneous Endoscopic Transgastric Jejunostomy Tube

Author: Seokin KANG ¹ ; Yuri KIM ; Hee Kyong NA ; Sun Ju CHUNG ; Jeong Hoon LEE
Author Information

1. Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Publication Type:Case Report
From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2020;20(4):324-327
CountryRepublic of Korea
Language:English
Abstract: Percutaneous endoscopic gastrostomy (PEG) has substituted surgical gastrostomy for long-term enteral nutrition. Percutaneous endoscopic transgastric jejunostomy (PEG-J) entails placing a feeding tube into the jejunum through PEG. Unlike PEG, PEG-J is associated with complications caused by the jejunal extension tube. Herein, we report a rare complication of PEG-J. A 71-year-old woman who underwent PEG-J for the administration of carbidopa-levodopa, complained of epigastric pain, dyspepsia, and weight loss of more than 10% in 2 months. Esophagogastroduodenoscopy revealed a duodenal decubitus ulcer caused by the pressure from the jejunal extension tube. After removal of the PEG-J and a 4-week treatment with a proton pump inhibitor, the ulcer healed and the symptoms resolved.