PMC10116391_01
Preoperative examination. a Preoperative CT scan (1. axial section, 2. coronal section). The esophagus and blind end of the elevated jejunum are significantly dilated (white arrows indicate esophageal jejunal anastomosis). b Preoperative upper gastrointestinal fluoroscopy. The main side of the elevated jejunum shows a stenotic change on the central side (white arrow). The blind end of the elevated jejunum was dilated. c Preoperative upper gastrointestinal endoscopy. The main side of the elevated jejunum showed poor progression; however, the passage of the scope was good. CT, computed tomography.
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F1
Dilation of the main side of the elevated jejunum was not observed (Fig. 1a). The blind end of the elevated jejunum was dilated (Fig. 1b). Furthermore, the flow was good when the contrast medium flowed from the anal side to the poorly developed location (Fig. 1c).
Abdominal X-ray following PTEG. The tube was placed on the main side of the elevated jejunum. PTEG, percutaneous trans-esophageal gastrostomy.
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F2
Oishi et al. (Fig. 2). On the day of surgery, the patient began tube feeding with PTEG.
CT scan 1 month after surgery (1. axial section, 2. coronal section). The dilation of the esophagus and blind end of the elevated jejunum improved (white arrows indicate esophageal jejunal anastomosis). CT, computed tomography.
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F3
A computed tomography scan 1 month postoperatively showed improvements in the dilation of the esophagus and the blind end of the elevated jejunum (Fig. 3).