title: [Case of severely disabled child with refractive respiratory infection due to gastroesophageal reflux successfully controlled by using a button-shaped double lumen transgastric jejunal feeding tube].
abstract: A 12-year-old severely disabled woman child had been suffering from the refractive respiratory infection due to gastroesophageal reflux (GER) in years. However two transnasal catheters inserted to control GER, one was for feeding to the jejunum and the other was for decompression of the stomach, they were not effective against respiratory infection. Then, to resolve the problems, a button-shaped double lumen transgastric jejunal catheter was inserted into her jejunum via PEG in two-stage. After the procedure, the refractive respiratory infection due to GER could be successfully controlled. Additionally, by using the button-shaped catheter, any position came to be acceptable in daily life, for example in rehabilitation, sleeping and so on. Her ADL (activity of daily life) was well preserved.
authors.affiliation: Department of Digestive Disease Center, Kohoku General Hospital.
authors.forename: Kanako
authors.initials: K
authors.lastname: Nakagawa
authors.forename: Koichi
authors.initials: K
authors.lastname: Tomikashi
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Takashima
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kanemitsu
authors.forename: Kengo
authors.initials: K
authors.lastname: Sugimoto
authors.forename: Akiko
authors.initials: A
authors.lastname: Iwase
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Abe
authors.forename: Shinji
authors.initials: S
authors.lastname: Nozuchi
mesh_terms: D000203:Activities of Daily Living; D002404:Catheterization; D002648:Child; D019988:Children with Disabilities; D004750:Enteral Nutrition / Q000295:instrumentation*; D005260:Female; D005764:Gastroesophageal Reflux / Q000150:complications*; D006801:Humans; D007583:Jejunum; D011788:Quality of Life; D012141:Respiratory Tract Infections / Q000209:etiology* / Q000517:prevention & control* / Q000534:rehabilitation; D012720:Severity of Illness Index; D016896:Treatment Outcome