Gastric hemorrhage complicating percutaneous transgastric jejunostomy

The first occurrence at the authors' institution of serious gastrointestinal tract hemorrhage complicating percutaneous transgastric jejunostomy and its management by a modified technique are reported. The 0.7% frequency of this complication (one in 130 procedures) compares favorably with the frequency of hemorrhage reported for surgical gastrostomy (0.9%-1.4%). Percutaneous transgastric jejunostomy represents no greater risk of hemorrhage than does surgical gastrostomy and should continue to be an alternative to the latter procedure.