Ultrasound assisted percutaneous endoscopic jejunostomy.

The percutaneous endoscopic gastrostomy (PEG) cannot be performed for the patient after total gastrectomy. We design the new procedure to make jejunostomy with using an ultrasonography and a regular PEG kit. We name the procedure Ultrasound assisted Percutaneous Endoscopic Jejunostomy (USPEJ). Three cases has been performed USPEJ. Operating time is 30 minutes, 45 minutes and 10 minutes respectively. All cases were performed without any troubles. We conclude that the USPEJ is a useful method for the patient with dysphagia who has the past-history of total gastrectomy.