Ultrasound assisted percutaneous endoscopic jejunostomy

Area of Science:

• Gastroenterology
• Surgical Innovation
• Medical Devices

Background:

• Percutaneous endoscopic gastrostomy (PEG) is contraindicated post-total gastrectomy.
• Dysphagia in post-gastrectomy patients presents a significant clinical challenge.
• Alternative feeding access methods are crucial for this patient population.

Purpose of the Study:

• To introduce and evaluate a novel technique for jejunostomy creation.
• To address the limitations of PEG in patients with a history of total gastrectomy.
• To establish Ultrasound-assisted Percutaneous Endoscopic Jejunostomy (USPEJ) as a viable procedure.

Main Methods:

• Development of a new procedure combining ultrasonography with a standard PEG kit.
• Application of the Ultrasound-assisted Percutaneous Endoscopic Jejunostomy (USPEJ) technique.
• Clinical implementation in three patient cases.

Main Results:

• Successful jejunostomy creation in all three performed USPEJ cases.
• Procedure operating times varied (30, 45, and 10 minutes).
• No complications were reported during or after the USPEJ procedures.

Conclusions:

• Ultrasound-assisted Percutaneous Endoscopic Jejunostomy (USPEJ) is a safe and effective method.
• USPEJ provides a valuable alternative for feeding access in post-total gastrectomy patients with dysphagia.
• This innovative technique expands endoscopic intervention options for complex cases.