[Endoscopic therapy of gastrojejunal dissociation in intensive care medicine].

The object of this study was to evaluate the advantages of a new three-lumen tube (Trelumina) and a percutanous endoscopic gastrostomy (EntriStar) with a jejunal insertion tube (EntriStar) as a safe way to administer early enteral nutrition and simultaneous gastric decompression and fast reduction of high gastric reflux in critical care patients. Normalization of high gastric reflux and the patient nutrition goal were reached by Trelumina and the EntriStar within 4 days, and enteral feeding by those two systems depressed the nutrition costs by more than 90% compared to total parenteral nutrition. In conclusion, the placement of the Trelumina and the EntriStar is a safe, successful, and inexpensive means of providing early enteral nutrition and simultaneous gastric reflux reduction in critical care patients.