Double-Balloon Enteroscopy (DBE) For Replacement Of A Direct Percutaneous Endoscopic Jejunostomy (DPEJ) Tube, 7-Years After Original Placement

Direct percutaneous endoscopic jejunostomy (DPEJ) provides a more secure and effective route of enteral nutrition in patients with diabetic gastroparesis. Double-balloon enteroscopy (DBE) facilitated replacement of a DPEJ tube placed at our institution 7-years previously that was required in a 33-year old man.

At DBE, the DPEJ bumper was identified with externally passed guidewire assistance. A dedicated thread was passed through-the-tube remnant and bumper (from outside-in) and grasped endoscopically. The thread was used to place a fresh DPEJ tube at the same location.

The safe and stable endotherapeutic platform afforded by DBE enhances the usefulness and effectiveness of this technique.

Citation Skamnelos A, Murino A, Lazaridis N et al. eP148V DOUBLE-BALLOON ENTEROSCOPY (DBE) FOR REPLACEMENT OF A DIRECT PERCUTANEOUS ENDOSCOPIC JEJUNOSTOMY (DPEJ) TUBE, 7-YEARS AFTER ORIGINAL PLACEMENT. Endoscopy 2021; 53: S145.

Publication History

Article published online:
19 March 2021