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題名 | Pediatric Percutaneous Endoscopic Jejunostomy by J-Tube Extension Through a Preexisting Gastrostomy Site: A Preliminary Report=對兒童自胃造口處伸入空腸管以完成經皮內視鏡空腸造口術初步報告 |
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作者 | 倪衍玄; 余俊賢; 林文騰; 張碧峰; 施相宏; 張培鑫; 張美惠; | 書刊名 | 臺灣醫學會雜誌 |
卷期 | 97:12 1998.12[民87.12] |
頁次 | 頁873-876 |
分類號 | 417.6244 |
關鍵詞 | 兒童; 胃造口; 空腸管; 皮內視鏡; 空腸造口術; Child; Percutaneous endoscopic jejunostomy; |
語文 | 英文(English) |
英文摘要 | A prematurely born 5-year-old boy with chronic lung disease, hypoxicischemic encephalopathy, cerebral palsy, repeated aspiration pneumonia, and stroke underwent percutaneous endoscopic jejunostomy (PEJ) to alleviate repeated aspiration pneumonia. Studies, including 24-hour esophageal pH monitoring, □Tc gastric emptying time, upper gastroesophageal barium radiography, and endoscopic examinations showed severe gastroesophageal reflux and prolonged gastric emptying. Percutaneous endoscopic gastrostomy (PEG) was performed first, followed by placement of a polyurethane J-tube (9 French) through the preexisting gastrostomy site. We passed the stylet-guided J-tube through the pyloric ring endoscopically and advanced it to the jejunum. The position of the J-tube was confirmed by radiologic study. Feeding with an elemental formula, 20 mL/hour, commenced immediately after the procedure, and the rate was gradually increased to 50 mL/hour. No further episodes of aspiration pneumonia have occurred since J-tube placement. Our initial experience with jejunal feeding through a PEJ is encouraging. |
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