Trans-fistula percutaneous endoscopic jejunostomy (TF-PEJ) following a case of emergency pancreaticoduodenectomy - 08/09/21
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Abstract |
Background |
Entero-atmospheric fistula (EAF) is a devastating rare complication after abdominal surgery. When parenteral feeding is not feasible, an enteral feeding access must be obtained. A Trans-Fistula Percutaneous Endoscopic Jejunostomy (TF-PEJ) approach is presented.
Case presentation |
A young male that underwent emergent pancreatoduodenectomy developed three complicated proximal EAF, following multiple laparotomies and an open abdomen approach. Oral feeding was unsuccessful due to considerable fistulae drainage. Liver insufficiency led to total parenteral nutrition (TPN) discontinuation. TF-PEJ was inserted for nutritional support.
Conclusion |
After the TF-PEJ insertion, the patient recuperated and was discharged home, currently he is awaiting definitive treatment. A TF-PEJ is a creative solution for feeding patients with a proximal fistula.
Le texte complet de cet article est disponible en PDF.Key Words : Entero-atmospheric fistula (EAF), Trans-Fistula Percutaneous Endoscopic Jejunostomy (TF-PEJ), parenteral feeding
List of abbreviations : TF-PEJ, EAF, TPN, GI, PEG, PTD
Plan
Vol 3
Article 100013- septembre 2021 Retour au numéro
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