Percutaneous endoscopic jejunostomy tube placement for treatment of severe hyperemesis gravidarum in pregnancy

Authors

David H Kruchko, Advocate Aurora HealthFollow
Natasha Shah, Advocate Aurora HealthFollow
Charles BroyFollow
Dean Silas, Advocate Aurora HealthFollow

Recommended Citation

Kruchko D, Shah N, Broy C, Silas D. Percutaneous Endoscopic Jejunostomy Tube Placement for Treatment of Severe Hyperemesis Gravidarum in Pregnancy. J Investig Med High Impact Case Rep. 2020;8:2324709620975954. doi:10.1177/2324709620975954

Affiliations

Advocate Lutheran General Hospital

Abstract

Hyperemesis gravidarum is a common disease. Most patients are effectively treated with conservative measures, but gastric feeding and, rarely, post-pyloric feeding can be necessary. A 27-year-old woman, G3P2002, with a history of refractory hyperemesis in previous pregnancies, required placement of a nasojejunal tube but was removed due to an oropharyngeal ulcer. Endoscopic placement of a percutaneous endoscopic transgastric-jejunostomy (PEG-J) tube caused resolution of her symptoms. Twelve days after placement, the distal tube became dislodged and was endoscopically replaced with hemoclip anchoring in the jejunum. PEG-J tube placement is a safe and effective option for nutritional support in refractory hyperemesis gravidarum.

Document Type

Article

PubMed ID

33238753