Use of a 19-gauge injection needle as a guide for direct percutaneous endoscopic jejunostomy tube placement

2003 ◽  
Vol 57 (7) ◽  
pp. 942-945 ◽  
Author(s):  
Shyam Varadarajulu ◽  
Mark H. Delegge
2020 ◽  
Vol 8 ◽  
pp. 232470962097595
Author(s):  
David Kruchko ◽  
Natasha Shah ◽  
Charles Broy ◽  
Dean Silas

Hyperemesis gravidarum is a common disease. Most patients are effectively treated with conservative measures, but gastric feeding and, rarely, post-pyloric feeding can be necessary. A 27-year-old woman, G3P2002, with a history of refractory hyperemesis in previous pregnancies, required placement of a nasojejunal tube but was removed due to an oropharyngeal ulcer. Endoscopic placement of a percutaneous endoscopic transgastric-jejunostomy (PEG-J) tube caused resolution of her symptoms. Twelve days after placement, the distal tube became dislodged and was endoscopically replaced with hemoclip anchoring in the jejunum. PEG-J tube placement is a safe and effective option for nutritional support in refractory hyperemesis gravidarum.


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Endoscopy ◽  
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Endoscopy ◽  
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...  

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