Top tips for endoscopic-guided nasojejunal tube placement (with video)

Post written by Nonthalee Pausawasdi, MD, from the Division of Gastroenterology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Bangkok, Thailand. This article focuses on practical tips for successful endoscopic-guided nasojejunal tube placement, a valuable technique for patients requiring postpyloric enteral nutrition. Although a common clinical procedure, nasojejunal tube placement can be technically challenging, particularly in patients …

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Endoscopic suturing of a jejunal feeding tube extension to prevent recurrent gastric coiling

Post written by Nicholas M. McDonald, MD, from the Division of Gastroenterology and Hepatology, University of Minnesota, Minneapolis, Minnesota. A 23-year-old woman with a history of nausea, vomiting, and a 40-lb weight loss resulting in a BMI of 14.5 was referred for evaluation. Her symptoms were attributed to gastroparesis. Prior to referral, she had undergone …

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Endoscopic closure of jejunal perforation in altered anatomy using a detachable endoloop

Post written by Mohan Ramchandani, MD, DM, from the Department of Medical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India. A 73-year-old man was diagnosed with a case of carcinoma gastroesophageal junction. He underwent total gastrectomy with regional lymphadenectomy (D1 gastrectomy) and intrathoracic oesophagojejunostomy with Roux-en-Y jejunojejunal anastomosis. Post operatively he developed an anastomotic leak. After stabilization …

Continue reading Endoscopic closure of jejunal perforation in altered anatomy using a detachable endoloop