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Strategies in Managing Chronic Pancreatitis–Placement of Direct Percutaneous Endoscopic Jejunostomy Feeding Tubes
Author(s) -
Fang John C.,
DiSario James A.
Publication year - 2004
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/011542650401900150
Subject(s) - medicine , parenteral nutrition , pancreatitis , jejunostomy , percutaneous , malnutrition , acute pancreatitis , intensive care medicine , gastroenterology , surgery , general surgery
Patients with chronic pancreatitis (CP) often have maldigestion and malnutrition. Nutrition support during acute and CP traditionally has been provided by parenteral nutrition. In acute pancreatitis, jejunal feeding may accelerate resolution of the inflammatory process, protect against infection, and improve outcomes at a reduced cost when compared with parenteral nutrition. Jejunal feeding may also be beneficial for patients with CP. Prolonged jejunal access may be achieved via a direct percutaneous endoscopic jejunostomy (DPEJ). This article will review the rationale and evidence for jejunal feeding, indications and contraindictions for DPEJ placement, and the technique and outcomes of DPEJ in patients with CP.