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Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Pediatric percutaneous endoscopic jejunostomy by J-tube extension through a preexisting gastrostomy site: a

Y H Ni1, C H Yu, W T Lin

  • 1Department of Pediatrics, College of Medicine, National Taiwan University, Taipei, Taiwan.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|January 13, 1999
PubMed

Insights

Percutaneous endoscopic jejunostomy (PEJ) effectively managed aspiration pneumonia in a child with complex medical conditions. Jejunal feeding via PEJ resolved recurrent pneumonia, offering a promising solution for severe gastroesophageal reflux and delayed gastric emptying.

Area of Science:

  • Pediatric Gastroenterology
  • Minimally Invasive Surgery

Background:

  • A 5-year-old boy with chronic lung disease, hypoxic-ischemic encephalopathy, cerebral palsy, and stroke experienced recurrent aspiration pneumonia.
  • Severe gastroesophageal reflux and prolonged gastric emptying were identified as contributing factors.

Observation:

  • The patient underwent percutaneous endoscopic gastrostomy (PEG) followed by the endoscopic placement of a jejunal (J) tube.
  • The J-tube was advanced through the pyloric ring into the jejunum and its position confirmed radiologically.

Findings:

  • Jejunal feeding with an elemental formula was initiated immediately post-procedure.
  • No further episodes of aspiration pneumonia were observed after the jejunal tube placement.

Implications:

  • Percutaneous endoscopic jejunostomy (PEJ) presents a viable and effective treatment for aspiration pneumonia in complex pediatric cases.
  • This approach offers a promising alternative for managing severe gastroesophageal reflux and delayed gastric emptying, improving patient outcomes.

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