Direct percutaneous endoscopic jejunostomy performed with gastroscope

Abstract

While percutaneous endoscopic gastrostomy (PEG) is a well-known approach for achieving enteral feeding, direct percutaneous endoscopic jejunostomy (DPEJ) is a technique that allows endoscopic placement of percutaneous/transabdominal feeding tube directly into the jejunum. It offers a non-surgical alternative for postpyloric enteral feeding for long-term nutritional support when gastric feeding is not technically possible or is inappriopriate. Conventionally DPEJ is done with pediatric colonoscope or small bowel enteroscope. Here, we report a case where DPEJ was accomplished with gastroscope.

Key words

Direct percutaneous endoscopic jejunostomy - gastroscopic jejunal intubation - jejunostomy - percutaneous endoscopic gastrostomy alternative - percutaneous endoscopic gastrostomy failure

• References

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