caa a22 4500 445797479 CHVBK 20180317145130.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10620-010-1306-2 doi (NATIONALLICENCE)springer-10.1007/s10620-010-1306-2 Enteral Access by Double-Balloon Enteroscopy: An Alternative Method of Direct Percutaneous Endoscopic Jejunostomy Placement [Elektronische Daten] [E. Despott, S. Gabe, E. Tripoli, K. Konieczko, C. Fraser] Background: Although direct percutaneous endoscopic jejunal feeding tube placement is an increasingly accepted method of providing small-bowel access for long-term enteral nutrition, it is reliant on push enteroscopy and remains a technically challenging procedure with significant failure rates. Double-balloon enteroscopy, with its ability to provide controlled small-bowel intubation may facilitate direct percutaneous endoscopic jejunal tube placement. Aims and Methods: We report a prospective series of ten consecutive cases of double-balloon enteroscopy-assisted direct percutaneous endoscopic jejunal placement, accompanied by a step-by-step illustrated overview of the technique. Results: Direct percutaneous endoscopic jejunal tube placement by double-balloon enteroscopy was successful in nine of the ten attempted cases. In the first case, direct percutaneous endoscopic jejunal placement was abandoned due to inadequate transillumination; there were no procedure-related complications in any of our patients. Conclusions: This first reported prospective case series of double-balloon enteroscopy-assisted direct percutaneous endoscopic jejunal placement shows a promisingly high success rate; larger comparative studies are required to clearly establish any advantages over the originally described push enteroscopy method. Springer Science+Business Media, LLC, 2010 Direct percutaneous endoscopic jejunostomy nationallicence DPEJ nationallicence Double-balloon enteroscopy nationallicence DBE nationallicence Enteral nutrition nationallicence Despott E. Wolfson Unit for Endoscopy, St. Mark's Hospital and Academic Institute, Imperial College, Watford Road, HA1 3UJ, Harrow, London, UK aut Gabe S. Lennard-Jones National Intestinal Failure Unit, St. Mark's Hospital and Academic Institute, Imperial College, Watford Road, HA1 3UJ, Harrow, London, UK aut Tripoli E. Wolfson Unit for Endoscopy, St. Mark's Hospital and Academic Institute, Imperial College, Watford Road, HA1 3UJ, Harrow, London, UK aut Konieczko K. Department of Anesthesia, St. Mark's Hospital and Academic Institute, Imperial College, Watford Road, HA1 3UJ, Harrow, London, UK aut Fraser C. Wolfson Unit for Endoscopy, St. Mark's Hospital and Academic Institute, Imperial College, Watford Road, HA1 3UJ, Harrow, London, UK aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/2(2011-02-01), 494-498 0163-2116 56:2<494 2011 56 10620 https://doi.org/10.1007/s10620-010-1306-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-010-1306-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Despott E. Wolfson Unit for Endoscopy, St. Mark's Hospital and Academic Institute, Imperial College, Watford Road, HA1 3UJ, Harrow, London, UK aut NATIONALLICENCE 700 1- Gabe S. Lennard-Jones National Intestinal Failure Unit, St. Mark's Hospital and Academic Institute, Imperial College, Watford Road, HA1 3UJ, Harrow, London, UK aut NATIONALLICENCE 700 1- Tripoli E. Wolfson Unit for Endoscopy, St. Mark's Hospital and Academic Institute, Imperial College, Watford Road, HA1 3UJ, Harrow, London, UK aut NATIONALLICENCE 700 1- Konieczko K. Department of Anesthesia, St. Mark's Hospital and Academic Institute, Imperial College, Watford Road, HA1 3UJ, Harrow, London, UK aut NATIONALLICENCE 700 1- Fraser C. Wolfson Unit for Endoscopy, St. Mark's Hospital and Academic Institute, Imperial College, Watford Road, HA1 3UJ, Harrow, London, UK aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/2(2011-02-01), 494-498 0163-2116 56:2<494 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer