Direct percutaneous endoscopic jejunostomy performed with gastroscope

• Main Authors: Ajay P. Choksi, Keyur C. Shah, Harshad K. Parekh
• Format: Article
• Language: English
• Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2013-07-01
• Series: Journal of Digestive Endoscopy
• Subjects: direct percutaneous endoscopic jejunostomy; gastroscopic jejunal intubation; jejunostomy; percutaneous endoscopic gastrostomy alternative; percutaneous endoscopic gastrostomy failure
• Online Access: http://www.thieme-connect.de/DOI/DOI?10.4103/0976-5042.129986

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.