After pulling the endoscope out, 20-Fr PEG-J tube was placed at the jejunum over the guidewire under fluoroscopy. At first concentrated liquid diet was used as PEG-J tube feedings but tube occlusion occurred easily in a few days because of milk constituent deposition in PEG-J tube inner cavity. Elemental diet (Elental®) which is highly liquid was used as PEG-J tube feedings to prevent tube occlusion. Results: No recurrence of vomiting and serious aspiration pneumonia caused by GERD was observed after the PEG-J tube placements.

PEG-J tube placements were successfully completed within 5 minutes in all cases. There were no complications. PEG-J tube feedings were safely performed even in the acute phase such as serious check details pneumonia,

acute pancreatitis. PEG-J tube could also be used as decompression tube in ileus cases. Elemental diet can prevent tube occlusion because of its high fluidity. Elemental diet seems to be the best for PEG-J tube feedings. Conclusion: The efficacy of PEG-J was clear because PEG-J tube have two lumens for transjejunal feedings and gastric decompression. PEG-J is useful to save PEG related problems. Key Word(s): 1. percutaneous endoscopic gastrostomy; 2. peg; 3. percutaneous endoscopic gastrostomy with jejunal extension; 4. PEG-J Presenting Author: SINTA MURTI Additional Authors: ARI FAHRIAL SYAM, DADANG MAKMUN Corresponding Author: SINTA MURTI Affiliations: Medical Faculty Indonesia Univ-Cipto Mangunkusumo, Medical Faculty Indonesia Univ-Cipto selleck chemicals llc Mangunkusumo Objective: Introduction Handgrip strength (HGS) is a simple, easily performed bedside test that has been shown to correlate with patients mortality, surgery complication and length of stay. Many hospitalized patient need a bedside test to assess their nutritional status. Whether HGS can be used for this purpose is still under investigation. This study aimed to investigate handgrip utility as a marker of nutritional status in hospitalized patient, compared to other nutritional marker. Methods: This

MCE公司 is a retrospective study. Data from hospitalized internal medicine patients were recorded at the time of their entry and discharge, consist of HGS value, subjective global assessment, anthropometry and bioimpedance analysis (BIA) measurement and albumin. Results: We collect data from 177 inpatients. Handgrip strength significantly difer between those with good nutrition compared to those with mild undernourish, also if compared to severe undernourish (p = 0,0005). Handgrip strength significanty correlate with circumference arm muscle area, muscle mass and albumin but it doesn’t correlate with arm fat area and body fat. These results are consistent from entry time to disharge. There is no significant HGS differences between patient whose able to achieve nutrition target based on subjective global assessment.