The Role of Percutaneous Endoscopic Transgastric Jejunostomy in the Management of Enteral Tube Feeding

Ezekiel Wong Toh Yoon

Abstract


Feeding-related adverse events after percutaneous endoscopic gastrostomy (PEG) such as aspiration pneumonia can impede the use of PEG. Percutaneous endoscopic transgastric jejunostomy (PEG-J) using large-bore jejunal tubes with gastric decompression function may improve outcomes by circumventing gastric passage during enteral nutrition and improving drainage of excessive gastric secretions. This report describes a case where PEG-J was successful in maintaining enteral tube feeding in a 72-year-old man when PEG feeding was not tolerated. Patients with unsuccessful PEG feeding can be offered the option of jejunal feeding before terminating enteral nutrition.




Gastroenterol Res. 2016;9(2-3):53-55
doi: http://dx.doi.org/10.14740/gr704w


Keywords


Percutaneous endoscopic gastrostomy; Gastrojejunostomy; Enteral nutrition

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