Jp. Watson et al., PERCUTANEOUS ENDOSCOPIC GASTROENTEROSTOMY AND JEJUNAL EXTENSION FOR GASTRIC STASIS IN PANCREATIC-CARCINOMA, Palliative medicine, 11(5), 1997, pp. 407-410
Citations number
11
Categorie Soggetti
Medicine, General & Internal","Public, Environmental & Occupation Heath
Gastric stasis in pancreatic cancer without mechanical obstruction is
distressing and difficult to manage, We describe two patients who were
treated by percutaneous endoscopic gastroenterostomy (PEG) combined w
ith a jejunal extension. Both patients had pancreatic cancer and gastr
ic stasis, with recurrent vomiting and no evidence of distal duodenal
obstruction. They were unresponsive to high-dose prokinetic agents. In
both cases a Bower-PEG feeding tube with jejunal extension was insert
ed endoscopically, with clinical improvement. The technique has the ad
vantages of permitting enteral feeding and allowing aspiration of uppe
r gastrointestinal secretions between feeds, which produces symptomati
c relief from nausea and vomiting. This manoeuvre can produce effectiv
e palliation, perhaps allowing the patient to be managed at home durin
g the terminal phase of their illness.