title: Ultrasound-assisted technique for challenging jejunostomy balloon-tube replacements.
abstract: The authors present a case of a 38-year-old man with a 4-hour history of accidental removal of a jejunostomy balloon-tube replacement (PEG-18-BRT-S, Cook Medical Inc., Bloomington, USA). The patient had undergone a direct percutaneous endoscopic jejunostomy (DPEJ) ten months ago, before chemoradiotherapy treatment for an esophageal squamous-cell carcinoma (uT3N2cM0). His past medical condition included alcoholic liver disease and distal gastrectomy from a life-threatening duodenal bleeding ulcer.
authors.affiliation: Gastrenterologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal.
authors.forename: Ana
authors.initials: A
authors.lastname: Ponte
authors.affiliation: Gastroenterology and Hepatology department, Centro Hospitalar de Gaia/Espinho, Portugal.
authors.forename: Rolando
authors.initials: R
authors.lastname: Pinho
authors.affiliation: Gastroenterology, Centro Hospitalar Vila Nova Gaia/Espinho, Portugal.
authors.forename: Sónia
authors.initials: S
authors.lastname: Fernandes
authors.affiliation: Gastroenterology, Centro Hospitalar Vila Nova de Gaia, Portugal.
authors.forename: Carlos
authors.initials: C
authors.lastname: Fernandes
authors.affiliation: Gastroenterology, Centro Hospitalar Vila Nova Gaia Espinho, Portugal.
authors.forename: Iolanda
authors.initials: I
authors.lastname: Ribeiro
authors.affiliation: Gastroenterology, Centro Hospitalar Vila Nova de Gaia, Portugal.
authors.forename: Joana
authors.initials: J
authors.lastname: Silva
authors.affiliation: Gastroenterology, Centro Hospitalar Vila Nova Gaia/Espinho, Portugal.
authors.forename: Jaime
authors.initials: J
authors.lastname: Rodrigues
authors.affiliation: Gastroenterology and Hepatology department, Centro Hospitalar de Gaia/Espinho, Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Carvalho
mesh_terms: D000328:Adult; D002404:Catheterization; D016099:Endoscopy, Gastrointestinal; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D018084:Ultrasonography, Interventional / Q000379:methods*