Endoscopy 2012; 44(02): 210-212
DOI: 10.1055/s-0031-1291442
Case report/series
© Georg Thieme Verlag KG Stuttgart · New York

Single-balloon enteroscopy-assisted direct percutaneous endoscopic jejunostomy

H. Aktas
1  Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
,
P. B. F. Mensink
1  Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
,
E. J. Kuipers
1  Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
2  Department of Internal Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands
,
H. van Buuren
1  Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
› Author Affiliations
Further Information

Publication History

submitted 03 May 2011

accepted after revision 22 September 2011

Publication Date:
23 January 2012 (online)

Direct percutaneous endoscopic jejunostomy (DPEJ) has emerged as a viable alternative for percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) in patients who cannot tolerate gastric feeding. Reportedly, DPEJ placement with regular endoscopes fails in up to one-third of cases. The aim of the current study was to assess the efficacy and safety of single-balloon enteroscopy (SBE)-assisted DPEJ. The DPEJ placement technique was comparable to conventional PEG placement. A total of 12 DPEJ procedures were performed in 11 patients (mean age 55 years [range 24 – 83 years]; seven males). SBE-assisted DPEJ was successful in 11 of the 12 procedures (92 %). Post-procedural complications included gastroparesis and aspiration pneumonia in one case each. We conclude that SBE-assisted DPEJ placement seems a safe and successful approach for patients requiring jejunal enteral feeding.