SciELO - Scientific Electronic Library Online

 
vol.107 issue4Is the sinusoidal obstructive syndrome post-liver transplantation a pathologic entity with a multifactorial etiology? author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista Española de Enfermedades Digestivas

Print version ISSN 1130-0108

Abstract

ALBERCA-DE-LAS-PARRAS, Fernando et al. Direct percutaneous endoscopic jejunostomy in pediatric age with a pexies triangulation system: report of a case and literature review. Rev. esp. enferm. dig. [online]. 2015, vol.107, n.4, pp.240-242. ISSN 1130-0108.

Direct percutaneous endoscopic jejunostomy (DPEJ) is an infrequent procedure as it is not always easy to obtain transillumination, being this the main reason for failure of this technique. In patients with previous surgery, this procedure is more complex and there are only 6 reported cases in pediatric population. In our case, we provide the use of an endoscopic triangulation system with "T" pexies not used before in these cases. With this technique, we guarantee not to replace the introduction system afterwards, obtaining the placement of a balloon fixation system initially. We also provide several improvements that helped us developing the procedure: Placement of the jejunostomy through a gastrostomy; use of water column to avoid penetration in hollow viscus; use of a guide wire, and a triangulation pexy system.

Keywords : Direct percutaneous endoscopic jejunostomy; Pediatric patients.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License