Direct Percutaneous Endoscopic Jejunostomy for the Management of Gastroparesis in Pregnancy.

Obstet Gynecol

Division of Gastroenterology, University of Alabama at Birmingham, Birmingham, Alabama; and the University College Dublin, School of Medicine and Medical Sciences, Dublin, Ireland.

Published: May 2018

AI Article Synopsis

  • Providing adequate nutrition to pregnant women with severe nausea and vomiting, known as refractory hyperemesis, can be difficult, especially when traditional methods lead to more complications.
  • A 36-year-old woman suffering from this condition underwent a direct percutaneous endoscopic jejunostomy after conventional treatments failed, significantly improving her nutritional status.
  • This case suggests that direct percutaneous endoscopic jejunostomy may be a safer alternative to other feeding methods in pregnant women where traditional intragastric feeding is not possible.

Article Abstract

Background: Providing meaningful nutrition in cases of refractory hyperemesis during pregnancy can be challenging; although intragastric enteral nutrition is the most common approach, it is contraindicated in certain cases and carries the risk of increased nausea and vomiting.

Case: A 36-year-old primigravid woman with a history of gastroparesis presented at 16 weeks of gestation with nausea and vomiting. With no improvement with conventional approaches and signs of malnutrition, a direct percutaneous endoscopic jejunostomy was placed. Her nutritional status improved, and the pregnancy ended in the delivery of a healthy neonate.

Conclusion: Direct percutaneous endoscopic jejunostomy in pregnancy is an option in patients in whom intragastric feeding is contraindicated and may offer a more secure approach than percutaneous gastrojejunostomy.

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Source
http://dx.doi.org/10.1097/AOG.0000000000002583DOI Listing

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