title: Direct percutaneous endoscopic jejunostomy in pediatric age with a pexies triangulation system: report of a case and literature review.
abstract: Direct percutaneous endoscopic jejunostomy (DPEJ) is an infrequent procedure as it is not always easy to obtain transillumination, being this the main reason for failure of this technique. In patients with previous surgery, this procedure is more complex and there are only 6 reported cases in pediatric population. In our case, we provide the use of an endoscopic triangulation system with "T" pexies not used before in these cases. With this technique, we guarantee not to replace the introduction system afterwards, obtaining the placement of a balloon fixation system initially. We also provide several improvements that helped us developing the procedure: Placement of the jejunostomy through a gastrostomy; use of water column to avoid penetration in hollow viscus; use of a guide wire, and a triangulation pexy system.
authors.forename: Fernando
authors.initials: F
authors.lastname: Alberca-de-Las-Parras
authors.forename: María
authors.initials: M
authors.lastname: Navalón-Rubio
authors.forename: Juan
authors.initials: J
authors.lastname: Egea-Valenzuela
authors.forename: Francisco-Javier
authors.initials: FJ
authors.lastname: Álvarez-Higueras
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Antón-Ródenas
authors.forename: Miriam
authors.initials: M
authors.lastname: Alajarín-Cervera
authors.forename: Andrés
authors.initials: A
authors.lastname: Serrano-Giménez
authors.forename: David
authors.initials: D
authors.lastname: Gil-Ortega
authors.forename: María
authors.initials: M
authors.lastname: Muñoz-Tornero
authors.forename: Akiko
authors.initials: A
authors.lastname: Ono-Ono
authors.forename: Luis Fernando
authors.initials: LF
authors.lastname: Carballo-Álvarez
mesh_terms: D002675:Child, Preschool; D016099:Endoscopy, Gastrointestinal / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D007582:Jejunostomy / Q000295:instrumentation / Q000379:methods*