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Related Experiment Videos

Direct percutaneous endoscopic jejunostomy

M Shike1, L Latkany

  • 1Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York, USA. shikem@mskcc.org

Gastrointestinal Endoscopy Clinics of North America
|July 9, 1998
PubMed
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Direct percutaneous endoscopic jejunostomy offers an effective method for jejunal feeding, especially when gastric feeding is not ideal. This technique boasts an 85% success rate with minimal complications, making it a viable alternative.

Area of Science:

  • Gastroenterology
  • Endoscopic Procedures

Background:

  • Jejunal feeding is often preferred over gastric feeding in specific clinical scenarios.
  • Conditions like high aspiration risk, gastric surgery, and gastric dysmotility necessitate jejunal feeding.

Purpose of the Study:

  • To evaluate the efficacy and safety of direct percutaneous endoscopic jejunostomy (DPEJ) for enteral nutrition.
  • To compare DPEJ with other methods of jejunal feeding.

Main Methods:

  • Direct percutaneous endoscopic jejunostomy technique was employed for jejunal tube placement.
  • Success rates and complication profiles were assessed.

Main Results:

  • The direct percutaneous endoscopic jejunostomy technique achieved a success rate of approximately 85%.

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  • The complication rate associated with DPEJ was minimal and comparable to percutaneous endoscopic gastrostomy (PEG) procedures.

    • Conclusions:

    • Direct percutaneous endoscopic jejunostomy is a safe and effective method for jejunal feeding.
    • DPEJ provides a superior alternative to older endoscopic techniques for jejunal access, particularly in patients unsuitable for gastric feeding.