Background:

Percutaneous Endoscopic Jejunostomy (PEJ) has been described by Shike since 1987 and is currently the best alternative in patients with gastroparesis, gastric outlet obstruction (GOO) and modified anatomy that require >6 weeks enteral feeding, however it´s still considered a difficult procedure used in few centers. In Mexico there are still no studies reporting the outcomes related to PEJ. We aim to describe the rate of technical and clinical success (defined as the effective use of the PEJ), as well as immediate, early (30 days) or late (90 days) procedure related complications of patients undergoing single-balloon enteroscopy (SBE) for PEJ placement.

Methods:

Retrospective analysis of 6 patients undergoing PEJ placement between January 2017 and May 2019. Statistical analysis included descriptive statistics with medians and range for continuous variables, and frequencies and percentages for categorical variables.

Results:

67% were women with a median age 75.5y, neurological condition was the main indication (50%) followed by GOO in 33%, three patients had modified anatomy. The average procedure duration was 61 min with 100% technical success rate and 100% clinical success rate allowing the onset of enteral nutrition in the first 24hrs, no immediate-early or late complications were reported.

Conclusion:

This study represents the first Mexican case series of SBE for PEJ placement as a potentially safe procedure and with high rates of technical-clinical success.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )