Endoscopy 2021; 53(S 01): S244
DOI: 10.1055/s-0041-1724936
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EUS-Guided Percutaneous Endoscopic Jejunostomy In Bariatric Surgery (Single Anastomosis Duodeno-Ileal Switch- Sadis)

S Maisterra-Santos
1   Hospital Universitari de Bellvitge-IDIBELL, Digestive Diseases Department, Endoscopy Unit, Barcelona, Spain
,
JG Velásquez-Rodríguez
1   Hospital Universitari de Bellvitge-IDIBELL, Digestive Diseases Department, Endoscopy Unit, Barcelona, Spain
,
S Bazaga-Perez De Rozas
1   Hospital Universitari de Bellvitge-IDIBELL, Digestive Diseases Department, Endoscopy Unit, Barcelona, Spain
,
S Llauradó-Paco
2   Hospital Universitari de Bellvitge-IDIBELL, Anesthesiology Department, Barcelona, Spain
,
A Casajoana-Badia
3   Hospital Universitari de Bellvitge-IDIBELL, Bariatric Surgery Unit, Barcelona, Spain
,
M Povedano
4   Hospital Universitari de Bellvitge-IDIBELL, Functional Motor Neuron Unit (UFMN), Barcelona, Spain
,
E Ferrero
5   Hospital Universitari de Bellvitge-IDIBELL, Pneumology Department, Barcelona, Spain
,
N Vilarrasa-García
6   Hospital Universitari de Bellvitge-IDIBELL, Endocrinology and Clinical Nutrition Department, Barcelona, Spain
,
JB Gornals
1   Hospital Universitari de Bellvitge-IDIBELL, Digestive Diseases Department, Endoscopy Unit, Barcelona, Spain
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    51-year-old male with bulbar ALS, bariatric surgery (SADIS-S type) reconverted to Roux-en-Y bypass. Absence of transillumination prevents from conventional PEG placement. Proposal for EUS-guided percutaneous feeding tube placement.

    Percutaneous EUS-target creation with a water-filled glove placing it over the abdomen. Initial attempt to identify EUS-target from stomach, not possible for excessive distance. Advancement to jejunum, EUS-guided transjejunal puncture and advancement of a guidewire, knotting it to feeding system and passed into the bowel and drawn back through the mouth. Finally, PEJ placement following traditional technique.

    Comment Endoscopic alternative in unfit patients for conventional PEG due to bariatric surgery.

    Citation Maisterra-Santos S, Velásquez-Rodríguez JG, Bazaga-Perez De Rozas S et al. eP446V EUS-GUIDED PERCUTANEOUS ENDOSCOPIC JEJUNOSTOMY IN BARIATRIC SURGERY (SINGLE ANASTOMOSIS DUODENO-ILEAL SWITCH- SADIS). Endoscopy 2021; 53: S244.


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    Publication History

    Article published online:
    19 March 2021

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