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Surg Laparosc Endosc Percutan Tech · Jun 2009
Case ReportsDirect percutaneous endoscopic duodenostomy: a case report.
- Yuichiro Tanishima, Tetsuji Fujita, Yutaka Suzuki, Sumio Takayama, and Katsuhiko Yanaga.
- Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan. tanishima@jikei.ac.jp
- Surg Laparosc Endosc Percutan Tech. 2009 Jun 1; 19 (3): e98-9.
AbstractA 78-year-old male, who had undergone left upper lobectomy because of traumatic pulmonary contusion at the age of 25 years, succumbed to left hemiplegia with impaired consciousness that was caused by right putaminal hemorrhage. Aspiration pneumonia was complicated and he was set on tracheostomy and tube feeding through a nasogastric tube. Although it was apparent that enteral nutrition through the percutaneous endoscopic gastrostomy was appropriate for him, performing a percutaneous endoscopic gastrostomy seemed impossible as the computed tomography revealed that the elevated stomach was located behind the heart. In this patient, we successfully performed a direct percutaneous endoscopic duodenostomy without any complication.
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