FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2979676823> ?p ?o ?g. }

• W2979676823 endingPage "S1192" @default.
• W2979676823 startingPage "S1191" @default.
• W2979676823 abstract "INTRODUCTION: Hyperemesis gravidarum (HG) is a severe complication of pregnancy that occurs in up to 2% of pregnancies nationwide. Symptoms range from nausea and vomiting, leading to dehydration, electrolyte imbalances, and ultimately, fetal and maternal compromise. Medical management is not always adequate for symptomatic control with HG patients and enteral feeding is required via a nasoenteric or percutaneous endoscopic gastrostomy (PEG) tube. We present a rare case of a pregnant female with HG that failed the mentioned above therapy and required a percutaneous endoscopic transgastric-jejunostomy (PEG-J) tube for post pyloric feeding. CASE DESCRIPTION/METHODS: A 27-year-old-female with a past medical history of HG in all prior pregnancies required nasojejunal (NJ) tube placement at approximately 20 weeks gestation due to weight loss from 30 episodes of emesis daily. She developed a posterior oropharyngeal ulcer requiring NJ tube removal. The decision to bypass intra-gastric feeding with a PEG-J tube was determined to be the best option for nutrition. A 24Fr PEG was placed, and a 12Fr jejunostomy catheter was passed through the PEG into the jejunum (A). Unfortunately, she returned as an outpatient 12 later with worsening symptoms. Abdominal radiograph revealed the jejunal portion of the tube to be in the distal stomach (B). The patient underwent a repeat upper endoscopy and PEG-J tube dislodgement was confirmed. The PEG-J was removed and an externally removable 22Fr low-profile PEG-J tube was placed using the existing gastrostomy stoma. Proper position of the tube was confirmed and the distal tip was secured to the jejunal wall with three hemoclips (C). The patient and fetus tolerated the procedure without complication and she went on to receive tube feeds through the PEG-J tube for the remaining 18 weeks of pregnancy. The PEG-J tube was removed with manual traction post-partum day 1 at the bedside after the patient was asymptomatic and tolerating general diet. DISCUSSION: There is very little recent literature on refractory HG cases requiring PEGJ-tube placement. This case demonstrates the importance of following a stepwise approach for nutritional support in refractory HG patients and that low-profile PEG-J can be a well-tolerated and safe treatment modality option in those who have failed conservative therapy. As seen in this case, PEG-J tube dislodgement is a potential complication but can be prevented effectively with hemoclips and therefore should not be a limiting factor for placement of PEG-J tube." @default.
• W2979676823 created "2019-10-18" @default.
• W2979676823 creator A5045231769 @default.
• W2979676823 creator A5072466100 @default.
• W2979676823 creator A5075408431 @default.
• W2979676823 creator A5078968719 @default.
• W2979676823 date "2019-10-01" @default.
• W2979676823 modified "2023-09-23" @default.
• W2979676823 title "2138 Percutaneous Endoscopic Jejunostomy Tube Placement for Treatment of Severe Hyperemesis Gravidarum in Pregnancy: Case Report and Review" @default.
• W2979676823 doi "https://doi.org/10.14309/01.ajg.0000598084.77622.6c" @default.
• W2979676823 hasPublicationYear "2019" @default.
• W2979676823 type Work @default.
• W2979676823 sameAs 2979676823 @default.
• W2979676823 citedByCount "0" @default.
• W2979676823 crossrefType "journal-article" @default.
• W2979676823 hasAuthorship W2979676823A5045231769 @default.
• W2979676823 hasAuthorship W2979676823A5072466100 @default.
• W2979676823 hasAuthorship W2979676823A5075408431 @default.
• W2979676823 hasAuthorship W2979676823A5078968719 @default.
• W2979676823 hasConcept C10138342 @default.
• W2979676823 hasConcept C141071460 @default.
• W2979676823 hasConcept C162324750 @default.
• W2979676823 hasConcept C2777014482 @default.
• W2979676823 hasConcept C2777355116 @default.
• W2979676823 hasConcept C2778045676 @default.
• W2979676823 hasConcept C2778409550 @default.
• W2979676823 hasConcept C2779234561 @default.
• W2979676823 hasConcept C2779787475 @default.
• W2979676823 hasConcept C2780075904 @default.
• W2979676823 hasConcept C2780852908 @default.
• W2979676823 hasConcept C44315111 @default.
• W2979676823 hasConcept C54355233 @default.
• W2979676823 hasConcept C54400483 @default.
• W2979676823 hasConcept C71924100 @default.
• W2979676823 hasConcept C78722104 @default.
• W2979676823 hasConcept C86803240 @default.
• W2979676823 hasConceptScore W2979676823C10138342 @default.
• W2979676823 hasConceptScore W2979676823C141071460 @default.
• W2979676823 hasConceptScore W2979676823C162324750 @default.
• W2979676823 hasConceptScore W2979676823C2777014482 @default.
• W2979676823 hasConceptScore W2979676823C2777355116 @default.
• W2979676823 hasConceptScore W2979676823C2778045676 @default.
• W2979676823 hasConceptScore W2979676823C2778409550 @default.
• W2979676823 hasConceptScore W2979676823C2779234561 @default.
• W2979676823 hasConceptScore W2979676823C2779787475 @default.
• W2979676823 hasConceptScore W2979676823C2780075904 @default.
• W2979676823 hasConceptScore W2979676823C2780852908 @default.
• W2979676823 hasConceptScore W2979676823C44315111 @default.
• W2979676823 hasConceptScore W2979676823C54355233 @default.
• W2979676823 hasConceptScore W2979676823C54400483 @default.
• W2979676823 hasConceptScore W2979676823C71924100 @default.
• W2979676823 hasConceptScore W2979676823C78722104 @default.
• W2979676823 hasConceptScore W2979676823C86803240 @default.
• W2979676823 hasIssue "1" @default.
• W2979676823 hasLocation W29796768231 @default.
• W2979676823 hasOpenAccess W2979676823 @default.
• W2979676823 hasPrimaryLocation W29796768231 @default.
• W2979676823 hasRelatedWork W1967324066 @default.
• W2979676823 hasRelatedWork W1967340453 @default.
• W2979676823 hasRelatedWork W2009557407 @default.
• W2979676823 hasRelatedWork W2036324465 @default.
• W2979676823 hasRelatedWork W2056339925 @default.
• W2979676823 hasRelatedWork W2275534494 @default.
• W2979676823 hasRelatedWork W2468528246 @default.
• W2979676823 hasRelatedWork W2884627009 @default.
• W2979676823 hasRelatedWork W3121937447 @default.
• W2979676823 hasRelatedWork W4243906952 @default.
• W2979676823 hasVolume "114" @default.
• W2979676823 isParatext "false" @default.
• W2979676823 isRetracted "false" @default.
• W2979676823 magId "2979676823" @default.
• W2979676823 workType "article" @default.