[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].
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.
Nakagawa
Kanako
K
Department of Digestive Disease Center, Kohoku General Hospital.
Tomikashi
Koichi
K
Takashima
Hidetaka
H
Kanemitsu
Daisuke
D
Sugimoto
Kengo
K
Iwase
Akiko
A
Abe
Yoshiaki
Y
Nozuchi
Shinji
S
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