Klaus Mönkemüller, MD, PhD, FASGE, Klaus Vormbrock, MD, PhD

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Presentation transcript:

Direct percutaneous endoscopic jejunostomy tube placement using double-balloon enteroscopy Klaus Mönkemüller, MD, PhD, FASGE, Klaus Vormbrock, MD, PhD Gastrointestinal Endoscopy Volume 75, Issue 2, Pages 463-465 (February 2012) DOI: 10.1016/j.gie.2011.09.049 Copyright © 2011 Terms and Conditions

Figure 1 CT scan of the abdomen showing a gastric outlet obstruction. Gastrointestinal Endoscopy 2012 75, 463-465DOI: (10.1016/j.gie.2011.09.049) Copyright © 2011 Terms and Conditions

Figure 2 Endoscopic view of needle used to anesthetize the skin and probe the tract for the percutaneous jejunostomy. Gastrointestinal Endoscopy 2012 75, 463-465DOI: (10.1016/j.gie.2011.09.049) Copyright © 2011 Terms and Conditions

Figure 3 The string was grasped with a forceps and then attached to the gastrostomy tube by using the Ponsky technique. Gastrointestinal Endoscopy 2012 75, 463-465DOI: (10.1016/j.gie.2011.09.049) Copyright © 2011 Terms and Conditions

Figure 4 PEJ-gram confirming adequate placement of the DPEJ. Gastrointestinal Endoscopy 2012 75, 463-465DOI: (10.1016/j.gie.2011.09.049) Copyright © 2011 Terms and Conditions