Abstract
Percutaneous gastrojejunal feeding is a method to provide nutrition by inserting a tube via a gastrostomy site into the jejunum. A 70-year-old man, incapacitated by a stroke, was admitted to our hospital with repetitive aspiration and vomiting. Passage disturbance of the horizontal portion of the duodenum was recognized on abdominal CT and an upper gastrointestinal series, and the diagnosis was superior mesenteric artery (SMA) syndrome. Jejunal tubing through a percutaneous endoscopic gastrostomy catheter (Jett PEG) was performed on day 11 of his disease for a period of time, and the outcome was successful. As the patient's nutrition condition and SMA syndrome had improved by postoperative day 75, we changed the percutaneous gastrojejunal feeding tube for a gastric feeding tube, the outcome of which was successful. This approach is considered to be a useful option for patients with a swallowing disorder and SMA syndrome.
