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Small intestinal intussusceptions due to the placement of a percutaneous endoscopic jejunostomy tube

Takayuki Satoh1, Kazue Sawada, Miyuki Satoh

  • 1Shibetsu City Hospital, Shibetsu, Japan.

BMJ Case Reports
|June 21, 2012
PubMed

Insights

Percutaneous endoscopic jejunostomy (PEJ) can cause rare intussusception complications. Early diagnosis using imaging and endoscopy is crucial for timely surgical intervention in patients with PEJ.

Area of Science:

  • Gastroenterology
  • Endoscopic Procedures

Background:

  • Percutaneous endoscopic jejunostomy (PEJ) is preferred over gastrostomy for preventing aspiration pneumonia.
  • Complications beyond aspiration pneumonia from PEJ placement are not well-documented.

Observation:

  • A rare case of small intestinal intussusception secondary to PEJ placement is presented.
  • Radiologic examination with Gastrografin revealed a beak-like filling defect, confirming intussusception.
  • Endoscopic examination with a thin scope identified ischemic changes in the small intestine.

Findings:

  • PEJ placement can lead to small intestinal intussusception, a rare but serious complication.
  • Gastrografin imaging is effective for diagnosing PEJ-related intussusception.
  • Endoscopy aids in assessing intestinal viability and guiding surgical decisions.

Implications:

  • Clinicians must consider intussusception in patients with PEJ presenting with obstructive symptoms.
  • Careful patient management and monitoring are essential for PEJ procedures.
  • Prompt diagnosis and intervention are critical for favorable outcomes in PEJ-induced intussusception.

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