医学
梗阻性黄疸
胆道引流
胃造口术
空肠
经皮内镜胃造口术
内窥镜检查
胃肠病学
经皮
内科学
外科
普通外科
财务
PEG比率
经济
作者
Hironori Tokumo,Kazunari Ishida,Hirokazu Komatsu,Hideyuki Machino,Kenji Morinaka
标识
DOI:10.1097/00004836-199703000-00013
摘要
We describe a new procedure, which can help patients with obstructive jaundice improve their quality of life (QOL). Although percutaneous transhepatic biliary drainage (PTBD) can relieve jaundice, the procedure has some disadvantages. Percutaneous endoscopic gastrostomy (PEG) is a useful method for providing nutritional support to patients unable to swallow. We have combined these two techniques. We used the combination of a 20-F catheter and a 9-F jejunal catheter for PEG. The PTBD catheter and the 9-F jejunal catheter are connected outside the patient's body. Externally drained bile from the PTBD catheter can flow back into the jejunum, and the opening between the 20-F catheter and the 9-F jejunal catheter is used for tube feeding. This procedure was adopted in a patient. Since the procedure, the patient's nutritional status and daily living activities have improved. We conclude that the procedure is useful for tube-fed patients with obstructive jaundice.
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