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Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

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Ostomy Care01:24

Ostomy Care

Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:

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Related Experiment Video

Updated: Jun 4, 2026

Colonial Wig Pancreaticojejunostomy
07:49

Colonial Wig Pancreaticojejunostomy

Published on: March 12, 2019

Percutaneous jejunostomy.

Hans van Overhagen1, Jaap Schipper

  • 1Interventional Radiologist, Leyenburg Hospital, Den Haag, The Netherlands.

Seminars in Interventional Radiology
|February 19, 2011
PubMed
Summary

Direct percutaneous jejunostomy offers a feasible alternative when gastrostomy is not possible. This interventional radiology procedure has a low mortality rate, making it a viable option for enteral feeding access.

Area of Science:

  • Interventional Radiology
  • Gastroenterology
  • Surgical Procedures

Background:

  • Percutaneous gastrostomy is not feasible for patients with a removed or inaccessible stomach.
  • Percutaneous jejunostomy is a technically more demanding alternative to gastrostomy.
  • Enteral feeding access is crucial for patients unable to consume food orally.

Purpose of the Study:

  • To describe the technique and outcomes of direct percutaneous jejunostomy.
  • To evaluate the feasibility and safety of percutaneous jejunostomy.
  • To provide a procedural overview for interventional radiologists.

Main Methods:

  • Direct percutaneous jejunostomy performed under fluoroscopic and ultrasound guidance.
  • Utilizes a nasojejunal tube for jejunal distension.
Keywords:
Percutaneous jejunostomyjejunal obstruction

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  • Involves puncture with a Cope suture anchor, contrast injection, dilation, and catheter placement.

    • Main Results:

    • Cumulative procedure-related mortality reported at 2.4% across three series.
    • Minor complication rates range from 10% to 11%.
    • Demonstrates technical feasibility for jejunal access.

    Conclusions:

    • Direct percutaneous jejunostomy is a feasible and relatively safe procedure.
    • It serves as an important option when percutaneous gastrostomy is contraindicated.
    • Highlights the role of interventional radiology in complex enteral access.