Application of percutaneous endoscopic gastrostomy with jejunal extension in a case of post-gastrectomy Roux Stasis syndrome

Masahiko Oiwa, Shunsuke Kagawa, Kunitoshi Shigeyasu, Nobuhiko Kanaya, Futoshi Uno, Hiroyuki Kishimoto, Masahiko Nishizaki, Toshiyoshi Fujiwara

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We present herein on a 74-years-old man, who underwent distal gastrectomy and Roux-en-Y reconstruction for stomach cancer, and developed gastro-jejunostomy obstruction. Re-anastomosis, however, did not relieve the symptoms. Delayed gastric emptying without mechanical obstruction lead to a diagnosis of Roux stasis syndrome (RSS). To achieve both gastric decompression and nutritional therapy, a percutaneous endoscopic gastrostomy-jejunostomy (PEG-J) was performed in two steps. Firstly, a gastrostomy was placed endoscopically and then a jejunal catheter was inserted through the gastrostomy tube. This system can feed nutritional solution through the jejunal catheter while gastric juice is drained from the gastrostomy tube. The patient was spared an uncomfortable nasal gastric tube and long-term central-venous hyperalimentation, and his RSS was completely cleared 134 days later. This experience suggested that PEG-J can be one of the options in the conservative treatment of RSS.

Original languageEnglish
Pages (from-to)1650-1654
Number of pages5
JournalGASTROENTEROLOGICAL ENDOSCOPY
Volume55
Issue number5
Publication statusPublished - May 1 2013

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Fingerprint Dive into the research topics of 'Application of percutaneous endoscopic gastrostomy with jejunal extension in a case of post-gastrectomy Roux Stasis syndrome'. Together they form a unique fingerprint.

  • Cite this