[Current options for percutaneous endoscopic access to the digestive tract]

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery
• Endoscopy

Background:

• Percutaneous endoscopic access to the digestive tract provides therapeutic options for complex gastrointestinal issues.
• This case series explores the application of percutaneous jejunostomy and colostomy in four distinct patient scenarios.

Observation:

• Patient 1: Parkinson's disease managed with percutaneous jejunostomy for post-pyloric medication administration.
• Patient 2: Gastric graft-versus-host disease treated successfully with a temporary percutaneous jejunostomy.
• Patient 3: Severe constipation addressed via percutaneous caecostomy for colonic lavage.
• Patient 4: Combined constipation and sphincteric insufficiency managed with percutaneous colostomy, complicated by local pain and abscess.

Findings:

• Percutaneous jejunostomy is effective for long-term medication delivery and recovery from gastric dysfunction.
• Percutaneous caecostomy provides a solution for managing severe constipation and colonic decompression.
• Percutaneous colostomy can be clinically successful but carries risks of local complications such as pain and abscess formation.

Implications:

• Percutaneous endoscopic interventions represent valuable tools for managing diverse gastrointestinal conditions, offering tailored solutions for medication delivery and functional restoration.
• Careful patient selection and monitoring are crucial to mitigate potential complications associated with percutaneous endoscopic procedures.