胸骨前再建術を施行された脳梗塞患者に再建胃管より腸瘻を造設した1例

Abstract

A 61-year-old man, who was operated for esophageal cancer at the age of 60, was admitted to our hospital because of poor consciousness. After admission, he was treated by percutaneous endoscopic gastrojejunostomy (PEGJ) at a gastric tube because of aspiration pneumonia. After PEGJ placement, he did not suffer from aspiration pneumonia and was discharged from our hospital. Percutaneous endoscopic gastrostomy (PEG) is a very useful method but can not be performed on the patient with the partial or total resected stomach. Percutaneous endoscopic jejunostomy (PEJ) is performed on these patients, but the procedure is difficult for a general endoscopist. Therefore we think that it is easy and safe for a general endoscopist to perform PEGJ on the patient whose stomach is recostruct- ed with a gastric tube through anthethorax after resection of esophageal cancer.