Usefulness of percutaneous transesophageal gastrotubing for gastric outlet obstruction secondary to duodenal ulcer, a case report

Keigo Nakashima, MD; Hironori Ohdaira, MD, PhD; Teppei Kamada, MD; Wataru Kai, MD; Junji Takahashi, MD; Yuichi Nakaseko, MD, PhD; Norihiko Suzuki, MD; Masashi Yoshida, MD, PhD; Eigoro Yamanouchi, MD, PhD; Yutaka Suzuki, MD, PhD

Radiology Case Reports (May 2022)

Usefulness of percutaneous transesophageal gastrotubing for gastric outlet obstruction secondary to duodenal ulcer, a case report

Keigo Nakashima, MD,
Hironori Ohdaira, MD, PhD,
Teppei Kamada, MD,
Wataru Kai, MD,
Junji Takahashi, MD,
Yuichi Nakaseko, MD, PhD,
Norihiko Suzuki, MD,
Masashi Yoshida, MD, PhD,
Eigoro Yamanouchi, MD, PhD,
Yutaka Suzuki, MD, PhD

Affiliations

Keigo Nakashima, MD: Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara city, Tochigi, 329-2763, Japan; Corresponding author:
Hironori Ohdaira, MD, PhD: Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara city, Tochigi, 329-2763, Japan
Teppei Kamada, MD: Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara city, Tochigi, 329-2763, Japan
Wataru Kai, MD: Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara city, Tochigi, 329-2763, Japan
Junji Takahashi, MD: Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara city, Tochigi, 329-2763, Japan
Yuichi Nakaseko, MD, PhD: Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara city, Tochigi, 329-2763, Japan
Norihiko Suzuki, MD: Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara city, Tochigi, 329-2763, Japan
Masashi Yoshida, MD, PhD: Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara city, Tochigi, 329-2763, Japan
Eigoro Yamanouchi, MD, PhD: Department of Radiology, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara city, Tochigi, 329-2763, Japan
Yutaka Suzuki, MD, PhD: Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara city, Tochigi, 329-2763, Japan

Journal volume & issue: Vol. 17, no. 5
pp. 1431 – 1434

Abstract

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Severe duodenal ulcer stenosis requires continuous decompression, which makes oral ingestion difficult, yet poor nutritional status before surgery increases the risk postoperative complications. Double percutaneous transesophageal gastrotubing (dPTEG) is a new treatment that provides both decompression and enteral nutrition. We report a case of duodenal ulcer scar stenosis in which dPTEG was used for preoperative management. A man in his 40s visited our hospital with vomiting as a chief complaint. CT scan showed duodenal ulcer stenosis. As the existence of malignant disease could not be ruled out, surgery was planned. Before surgery, dPTEG was inserted to achieve decompression and nutritional management. The patient's gastric distension and nutritional status improved significantly, and laparoscopic distal gastrectomy was performed 22 days after the insertion. dPTEG may be an effective management method for patients with pyloric stenosis due to duodenal ulcer.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

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