Journal of Gastrointestinal & Digestive System
Open Access

Case Report

An Improvement of an Ileus in the Jejunal Pouch by Aspiration with the Overtube of a Balloon Endoscopy: A Case Report

Takahiro Amano^1,5, Toshio Kuwai^1*, Akiyoshi Tsuboi¹, Kazuki Boda¹, Ken Yamashita¹, Yuichi Hiyama¹, Takeshi Mizumoto¹, Toshiki Yamaguchi¹, Atsushi Yamaguchi¹, Hirotaka Kouno¹, Kiyomi Taniyama^2,3,4, and Hiroshi Kohno¹

¹Department of Gastroenterology, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Hiroshima, Japan

²Department of Diagnostic Pathology, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Hiroshima, Japan

³Department of Institute for Clinical Research, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Hiroshima, Japan

⁴President, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Hiroshima, Japan

⁵Department of Gastroenterology, Toyonaka Municipal Hospital, Toyonaka, Japan

*Corresponding Author:

Toshio Kuwai, M.D.
Department of Gastroenterology
National Hospital Organization Kure Medical
Center and Chugoku Cancer Center
3-1 Aoyama, Kure, Hiroshima
737-0023, Japan
Tel: +81-823-22-3111
Fax: +81-823-21-0478
E-mail: kuwait@kure-nh.go.jp

Received date: May 18, 2015; Accepted date: June 22, 2015; Published date: June 26, 2015

Citation: Amano T, Kuwai T, Tsuboi A, Boda K, Yamashita K, et al. (2015) An Improvement of an Ileus in Thejejunal Pouch by Aspiration with the Overtube of a Balloon Endoscopy: A Case Report. J Gastrointest Dig Syst 5:301. doi:10.4172/2161-069X.1000301

Copyright: © 2015 Amano, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License; which permits unrestricted use; distribution; and reproduction in any medium; provided the original author and source are credited.

We report a case of an 86-year-old Japanese woman diagnosed with a food-induced ileus whose condition improved by aspiration with the overtube of a balloon endoscopy. She had undergone a total gastrectomy for gastric cancer and reconstruction by Roux-en Y anastomosis and jejunum pouch 17 years earlier. She complained of constipation and loss of appetite lasting more than 1 wk before admission. Her left abdomen showed gradual fullness, and tenderness was also found at the same site. Contrast computed tomography (CT) of the abdomen showed that the jejunal pouch lumenwas markedly expanded by food residue and was pressed into the intestinal tract of the small intestine. Gastrointestinal endoscopy revealed that the food residue was fluid and flowed back up into the esophagus, and the jejunum pouch was filled with food residue. As the patient was elderly, we attempted to aspirate the food residue with the overtube of a balloon endoscopy device. Food-induced ileus has been improved by surgery in the past; however, in determining treatment for ileus it is always necessary to consider the individual patients’ conditions, including the gastrointestinal contents.

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