PMC7705777_01
Nasojejunal tube placement confirmed with contrast.
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The patient had a nasojejunal tube (NJT) placed with lead shielding of the fetus 8 weeks prior when she was 6 weeks pregnant (Figure 1).
A 24-Fr percutaneous endoscopic gastrostomy (PEG) was placed, and a 12-Fr jejunostomy
catheter was passed through the PEG into the jejunum.
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A 24-Fr PEG was placed, and a 12-Fr jejunostomy catheter was passed through the PEG into the jejunum (Figure 2).
Abdominal radiograph revealed the jejunal portion of the tube to be in the distal
stomach.
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Abdominal radiograph revealed retrograde migration of the jejunal portion of the tube in the distal stomach (Figure 3).
Proper position of the tube was confirmed by relook endoscopy, the distal tip was
secured to the jejunal wall with 3 Boston Scientific Resolution hemoclips.
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PEG-J tube was placed using the existing gastrostomy stoma. Proper position of the tube was confirmed by relook endoscopy, the distal tip was secured to the jejunal wall with 3 Boston Scientific Resolution hemoclips (Figure 4 and 5).
An externally removable 22-Fr AVANOS MIC-KEY low-profile percutaneous endoscopic
transgastric-jejunostomy tube was placed using the existing gastrostomy stoma.
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PEG-J tube was placed using the existing gastrostomy stoma. Proper position of the tube was confirmed by relook endoscopy, the distal tip was secured to the jejunal wall with 3 Boston Scientific Resolution hemoclips (Figure 4 and 5).