title: Direct percutaneous endoscopic duodenostomy: a case report.
abstract: A 78-year-old male, who had undergone left upper lobectomy because of traumatic pulmonary contusion at the age of 25 years, succumbed to left hemiplegia with impaired consciousness that was caused by right putaminal hemorrhage. Aspiration pneumonia was complicated and he was set on tracheostomy and tube feeding through a nasogastric tube. Although it was apparent that enteral nutrition through the percutaneous endoscopic gastrostomy was appropriate for him, performing a percutaneous endoscopic gastrostomy seemed impossible as the computed tomography revealed that the elevated stomach was located behind the heart. In this patient, we successfully performed a direct percutaneous endoscopic duodenostomy without any complication.
authors: Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan. tanishima@jikei.ac.jp
authors: Yuichiro
authors: Y
authors: Tanishima
authors: Tetsuji
authors: T
authors: Fujita
authors: Yutaka
authors: Y
authors: Suzuki
authors: Sumio
authors: S
authors: Takayama
authors: Katsuhiko
authors: K
authors: Yanaga
mesh_terms: D000368:Aged; D003680:Deglutition Disorders / Q000175:diagnosis / Q000628:therapy*; D004385:Duodenostomy / Q000379:methods*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004750:Enteral Nutrition / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed