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首页> 外文期刊>Gastrointestinal Endoscopy >Complications after traction removal of direct percutaneous endoscopic jejunostomy: three case reports.
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Complications after traction removal of direct percutaneous endoscopic jejunostomy: three case reports.

机译：牵引去除直接经皮内镜空肠造口术后的并发症：三例报道。

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Direct percutaneous endoscopic jejunostomy (DPEJ) is a relatively recently described method of enteral feeding. Jejunal feeding is preferred to gastric feeding in patients with gastroparesis, gastric outlet obstruction, pancreatitis, and other functional or structural gastric defects, but who have normal intestinal function distal to the defect. Despite considerable improvements in the methods for DPEJ insertion, no established guidelines for removal exist. Tube removal can be performed endoscopically by grasping the intraluminal bumper, or non-endoscopically by application of external traction ("traction removal"). Although traction removal is the standard for removal of PEG tubes, it has been hypothesized that removal of DPEJ tubes by this method may be associated with a higher complication rate secondary to the thinner wall of the jejunum and the slower rate of spontaneous mucosal closure. We reportthree cases in which complications occurred after traction DPEJ removal at our institution.
机译：直接经皮内镜空肠造口术（DPEJ）是一种相对较新近描述的肠内喂养方法。对于有胃轻瘫，胃出口梗阻，胰腺炎和其他功能性或结构性胃功能不全的患者，但在其远端具有正常肠道功能的患者，空腹喂养优于胃喂养。尽管在DPEJ插入方法上有相当大的改进，但尚无确定的移除指南。可以在内窥镜下通过抓住管腔内保险杠来去除管，或通过施加外部牵引力在非内窥镜下进行去除（“牵引力去除”）。尽管牵引力去除是去除PEG管的标准，但据推测，通过这种方法去除DPEJ管可能与空肠壁变薄引起的更高的并发症发生率和自发的粘膜闭合速率降低有关。我们报告了三例在我们机构中移除牵引DPEJ后发生并发症的案例。

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