title: Direct percutaneous endoscopic jejunostomy placement in a patient with intracorporeal left ventricular assist device.
abstract: We present a case involving a patient who required enteral feeding after implantation of an abdominally positioned left ventricular assist device. The position of the device occupied most of the abdomen, precluding percutaneous endoscopic gastrostomy tube placement. However, in the case presented, direct percutaneous endoscopic jejunostomy (DPEJ) tube placement was achieved without interfering with the intracorporeal device. To our knowledge, there are no previous reports in the literature of successful DPEJ placement in a patient with an abdominally positioned heart assist device. DPEJ should be considered as a long-term enteral feeding route when structural barriers prevent percutaneous gastric access.
authors.affiliation: Department of Medicine, Division of Gastroenterology & Hepatology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA.
authors.forename: Dia T
authors.initials: DT
authors.lastname: Simmons
authors.forename: Richard C
authors.initials: RC
authors.lastname: Daly
authors.forename: Todd H
authors.initials: TH
authors.lastname: Baron
mesh_terms: D034841:Abdominal Cavity / Q000000981:diagnostic imaging / Q000601:surgery*; D000368:Aged; D016145:Endoscopy, Digestive System / Q000379:methods*; D004750:Enteral Nutrition / Q000379:methods*; D006353:Heart-Assist Devices; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D008297:Male; D011859:Radiography; D016896:Treatment Outcome