{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T02:39:59Z","timestamp":1785897599584,"version":"3.56.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T00:00:00Z","timestamp":1623715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPGN rep."],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec><jats:label\/><jats:p>The risk of intussusception related to percutaneous endoscopic gastrostomy with jejunal extension (PEG\u2010J) in patients with severe motor and intellectual disabilities (SMID) remains unknown. In a cross\u2010sectional study, a review of 26 patients (mean age, 11.6 \u00b1 6.4 years) with SMID who underwent PEG\u2010J was performed. During the follow\u2010up period, 6 of 26 (23%) patients developed intussusception. The median period from PEG\u2010J to the onset of intussusception was 364 (range, 8\u20131344) days. No significant difference was observed in the Cobb angle between the intussusception and nonintussusception groups; however, body mass index at the time of PEG\u2010J was significantly lower in the intussusception group. Intussusception related to PEG\u2010J occurs relatively frequently in patients, and it is possibly attributable to factors such as deformity caused by undernutrition and weight loss. If enteral nutrition via PEG\u2010J has been established, earlier enterostomy can be recommended because of the high risk of intussusception in patients with SMID.<\/jats:p><\/jats:sec>","DOI":"10.1097\/pg9.0000000000000088","type":"journal-article","created":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T17:00:06Z","timestamp":1623776406000},"source":"Crossref","is-referenced-by-count":2,"title":["Intussusception Caused by Percutaneous Endoscopic Gastrostomy With Jejunal Extension in Patients With Severe Motor and Intellectual Disabilities"],"prefix":"10.1002","volume":"2","author":[{"given":"Shin\u2010ichiro","family":"Hagiwara","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Nutrition and Endocrinology Osaka Women's and Children's Hospital Izumi Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takatoshi","family":"Maeyama","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Nutrition and Endocrinology Osaka Women's and Children's Hospital Izumi Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitoshi","family":"Honma","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Nutrition and Endocrinology Osaka Women's and Children's Hospital Izumi Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Soh","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Osaka Women's and Children's Hospital Izumi Osaka Japan"},{"name":"Department of Pediatric Surgery Kawasaki Medical School Kurashiki Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriaki","family":"Usui","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Osaka Women's and Children's Hospital Izumi Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuri","family":"Etani","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Nutrition and Endocrinology Osaka Women's and Children's Hospital Izumi Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mpg.0000221888.36501.f2"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-3528(97)90030-0"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2014.02.011"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.201.3.8939217"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.114.2.458"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2015.10.072"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607115575741"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2017.01.026"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eplepsyres.2007.09.006"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.5223\/pghn.2018.21.1.12"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)62574-9"},{"key":"e_1_2_8_13_1","first-page":"113","article-title":"Percutaneous endoscopic jejunostomy","volume":"79","author":"Ponsky JL","year":"1984","journal-title":"Am J Gastroenterol"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/ctg.2016.19"},{"key":"e_1_2_8_15_1","unstructured":"OhkuboH FuyukiA ArimotoJ et al.Efficacy of percutaneous endoscopic gastro\u2010jejunostomy (PEG\u2010J) decompression therapy for patients with chronic intestinal pseudo\u2010obstruction (CIPO) [published online aheda of print June 20 2017]. 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