A practical endoscopic procedure for jejunal intubation in presence of gastroparesia or (pseudo)-obstruction.
Patients with gastroparesia or intestinal pseudo-obstruction frequently have a motility disorder of the antro-pyloric region that makes the passage of tubes through the pylorus impossible or a very long procedure. We describe a rapid endoscopic method, inspired by the one used for nasobiliary drainage, that simplifies this procedure. In our manometric studies, we observed that spontaneous positioning needed a mean of 57 min (SD 34) in nondyspeptic subjects and a mean of 147 min (SD 68) in non-organic highly dyspeptic patients. Our method allowed us to shorten to a mean of 22 min (SD 5) the time needed to position the manometric tube and to start the recording of gastro-intestinal contractions in highly dyspeptic patients.
Jonard
P
P
Service de Gastro-entérologie, Université Catholique de Louvain, Bruxelles.
Schapira
M
M
Servais
M
M
Dive
C
C
D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005769:Gastrointestinal Motility; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000175:diagnosis* / Q000503:physiopathology; D007441:Intubation, Gastrointestinal / Q000379:methods*; D007583:Jejunum / Q000503:physiopathology; D008365:Manometry