Article Text

Download PDFPDF
Unexpected outcome (positive or negative) including adverse drug reactions
Small intestinal intussusceptions due to the placement of a percutaneous endoscopic jejunostomy tube
  1. Takayuki Satoh1,
  2. Kazue Sawada1,
  3. Miyuki Satoh1,
  4. Kikuchi Yohko1,
  5. Masataka Yamada1,
  6. Masaaki Zaitsu1,
  7. Tadahiro Osada1,
  8. Reiji Sawaya1,
  9. Toshie Nata2,
  10. Nobuhiro Ueno2,
  11. Kentaro Moriichi2,
  12. Katsuya Ikuta2,
  13. Yusuke Mizukami2,
  14. Jiro Watari3,
  15. Mikihiro Fujiya2,
  16. Yutaka Kohgo2
  1. 1Shibetsu City Hospital, Shibetsu, Japan
  2. 2Department of Medicine, Division of Gastroenterology and Hematology/Oncology, Asahikawa Medical University, Asahikawa, Japan
  3. 3Hyogo College of Medicine, Nishinomiya, Japan
  1. Correspondence to Mikihiro Fujiya, fjym{at}asahikawa-med.ac.jp

Summary

Percutaneous endoscopic jejunostomy (PEJ) has been developed and is considered to be a better method than percutaneous endoscopic gastrostomy for preventing the occurrence of aspiration pneumonia. However, the incidence of other complications associated with this procedure is less clear. We herein report a rare case with a small intestinal intussusception due to a PEJ placement. In this case, a radiologic examination with gastrografin was useful to detect the typical findings of a small intestinal intussusception, a beak-like filling defect, and identify the location of the lesion. An endoscopic examination that was carefully performed with a thin scope was effective to observe the ischaemic change of the small intestine and immediately determine the indication for surgical treatment. This case highlights the necessity to carefully manage patients with a PEJ placement, considering the risk of small intestinal intussusceptions when the patient complains of symptoms that are suspicious for an intestinal obstruction.

View Full Text

Statistics from Altmetric.com

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.