Gastrostomy to jejunostomy conversion

W. E. Strodel, Frederic Eckhauser, T. L. Dent, J. Q. Lemmer

Research output: Contribution to journalArticle

Abstract

Gastrostomy feeding is a common method for providing long-term nutritional support in patients with head and neck cancers and neurological disorders that may compromise swallowing. If the gastrointestinal tract functions normally, gastrostomy feedings are usually well tolerated. Gastroesophageal reflux is a relative contraindication to gastrostomy tube feeding. The degree of reflux in the upright position, and therefore the potential for aspiration, determines whether gastrostomy feeding will be safe and effective. Often, it is not possible to assess symptoms of gastroesophageal reflux in patients who are comatose or unable to respond to questioning. Occasionally, reflux and aspiration in patients with functioning gastrostomy tubes will require cessation of feeding or some alternative method of enteral alimentation. The purpose of this report is to present an endoscopic technique for converting a gastrostomy to a jejunostomy, which when used in a patient with symptomatic reflux resulted in a satisfactory outcome.

Original languageEnglish (US)
Pages (from-to)35-36
Number of pages2
JournalGastrointestinal Endoscopy
Volume30
Issue number1
StatePublished - 1984
Externally publishedYes

Fingerprint

Jejunostomy
Gastrostomy
Gastroesophageal Reflux
Nutritional Support
Enteral Nutrition
Deglutition
Head and Neck Neoplasms
Coma
Nervous System Diseases
Small Intestine
Gastrointestinal Tract

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Strodel, W. E., Eckhauser, F., Dent, T. L., & Lemmer, J. Q. (1984). Gastrostomy to jejunostomy conversion. Gastrointestinal Endoscopy, 30(1), 35-36.

Gastrostomy to jejunostomy conversion. / Strodel, W. E.; Eckhauser, Frederic; Dent, T. L.; Lemmer, J. Q.

In: Gastrointestinal Endoscopy, Vol. 30, No. 1, 1984, p. 35-36.

Research output: Contribution to journalArticle

Strodel, WE, Eckhauser, F, Dent, TL & Lemmer, JQ 1984, 'Gastrostomy to jejunostomy conversion', Gastrointestinal Endoscopy, vol. 30, no. 1, pp. 35-36.
Strodel WE, Eckhauser F, Dent TL, Lemmer JQ. Gastrostomy to jejunostomy conversion. Gastrointestinal Endoscopy. 1984;30(1):35-36.
Strodel, W. E. ; Eckhauser, Frederic ; Dent, T. L. ; Lemmer, J. Q. / Gastrostomy to jejunostomy conversion. In: Gastrointestinal Endoscopy. 1984 ; Vol. 30, No. 1. pp. 35-36.
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