Endoscopy 2012; 44(08): 772-775
DOI: 10.1055/s-0032-1309735
Case report/series
© Georg Thieme Verlag KG Stuttgart · New York

Percutaneous endoscopic jejunostomy in patients with gastroparesis following lung transplantation: feasibility and clinical outcome

E. Toussaint
1   Medicine Department, Jules Bordet Institute, Brussels, Belgium
,
A. Van Gossum
2   Department of Gastroenterology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium
,
A. Ballarin
2   Department of Gastroenterology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium
,
O. Le Moine
2   Department of Gastroenterology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium
,
M. Estenne
3   Department of Pneumology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium
,
C. Knoop
3   Department of Pneumology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium
,
J. Devière
2   Department of Gastroenterology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium
,
M. Arvanitakis
2   Department of Gastroenterology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium
› Author Affiliations
Further Information

Publication History

Submitted: 16 November 2011

Accepted after revision: 05 March 2012

Publication Date:
25 July 2012 (online)

Preview

The aim of the present study was to describe success rates, complications, and outcome in patients who underwent percutaneous endoscopic jejunostomy (PEJ) because of gastroparesis due to previous lung transplantation. Between October 2008 and May 2011, 14 attempts at PEJ placement were made in 12 patients in our center. Of the 14 attempts, 11 were successful, giving a technical success rate of 78.6 %. Median duration of follow-up was 8.5 months (2 – 15 months). No immediate complications were reported. Two severe complications occurred during follow up (one volvulus and one jejunocolic fistula). Jejunal nutrition was well tolerated in most of patients (9 /10). PEJ insertion is a feasible technique, which could help to provide nutritional support for patients with gastroparesis and previous lung transplantation.