A practical endoscopic procedure for jejunal intubation in presence of gastroparesia or (pseudo) -obstruction
Jonard, P.; Schapira, M.; Servais, M.; Dive, C.
Acta Gastro-Enterologica Belgica 53(4): 397-399
1990
ISSN/ISBN: 1784-3227 PMID: 2096587 Document Number: 359632
Patients with gastroparesia or intestinal pseudo-obstruction frequently have a motility disorder of the antro-pyloric region that makes the passage of tubes through the pylorus impossible or a very long procedure. We describe a rapid endoscopic method, inspired by the one used for nasobiliary drainage, that simplifies this procedure. In our manometric studies, we observed that spontaneous positioning needed a mean of 57 min (SD 34) in nondyspeptic subjects and a mean of 147 min (SD 68) in non-organic highly dyspeptic patients. Our method allowed us to shorten to a mean of 22 min (SD 5) the time needed to position the manometric tube and to start the recording of gastro-intestinal contractions in highly dyspeptic patients.