Open AccessThe Role of Percutaneous Endoscopic Transgastric Jejunostomy in the Management of Enteral Tube Feeding
Author(s) -
Ezekiel Wong Toh Yoon
Publication year - 2016
Publication title -
gastroenterology research
Language(s) - English
Resource type - Journals
eISSN - 1918-2813
pISSN - 1918-2805
DOI - 10.14740/gr704w
Subject(s) - medicine , percutaneous endoscopic gastrostomy , jejunostomy , enteral administration , feeding tube , peg ratio , parenteral nutrition , aspiration pneumonia , percutaneous , gastrostomy , surgery , pneumonia , finance , economics
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.