A Case of Percutaneous Transesophageal Jejunostomy after Subtotal Esophagectomy.

Takuji Maruyama, Shuji Kariya, Miyuki Nakatani, Yasuyuki Ono, Yutaka Ueno, Atsushi Komemushi, Noboru Tanigawa
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Abstract

An 80-year-old woman who underwent subtotal esophagectomy with gastric tube reconstruction for esophageal cancer developed carcinoma of the left upper gingiva. The local recurrence of the gingival carcinoma resulted in trismus and prevented oral intake. Then she underwent a percutaneous transesophageal jejunostomy tube placement in the preserved cervical esophagus. Enteral feeding continued for three months with no complications until oral intake was possible. A percutaneous transesophageal jejunostomy is possible using the postoperatively preserved cervical esophagus.

Abstract Image

食管大部切除术后经皮经食管空肠吻合术1例。
一名八十岁妇女因食管癌行次全食管切除术及胃管重建术后发展为左上龈癌。牙龈癌的局部复发导致牙关紧闭,阻止了口腔的进食。然后她接受了经皮经食管空肠造口管置入保存完好的颈部食管。肠内喂养持续了三个月,没有并发症,直到可以口服。经皮经食管空肠造口术可以使用术后保留的颈部食管。
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