[Gastro-esophageal reflux successfully treated with transgastrostomal jejunal tube feeding].
An 82-year-old man suffered from recurrent melena due to reflux esophagitis and aspiration pneumonia, which were caused by severe gastroesophageal reflux. We constructed a gastric stoma by percutaneous endoscopic gastrostomy (PEG) and fixed a transgastrostomal jejunal tube (TGJ tube) in the jejunum through the stoma. Direct administration of fluid into the jejunum was followed by a significant reduction in gastro-esophageal reflux. The reflux esophagitis and aspiration pneumonia did not recur. There was no vomiting, self-extubation, or restlessness that might have been caused by dementia, and the patient was could discharged cared for at into home.
Kanie
J
J
Department of Internal Medicine, Kainan Hospital.
Kono
K
K
Yamamoto
T
T
Akatsu
H
H
Iguchi
A
A
D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D004750:Enteral Nutrition / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000628:therapy*; D005773:Gastroscopy; D005774:Gastrostomy; D006801:Humans; D007582:Jejunostomy; D008297:Male