title: Direct percutaneous jejunostomy.
abstract: OBJECTIVE
  Enteral feeding via gastrostomy or gastrojejunostomy tubes has an established role in patients unable to maintain adequate oral intake. However, creation and maintenance of a site for long-term nutritional support can be significant problems in patients who have undergone previous surgery or in patients with chronic aspiration, abnormal stomach position, or recurrent inadvertent tube dislodgment. Direct percutaneous jejunostomy (DPJ) tube placement performed with fluoroscopic guidance was evaluated in these patients.
  
  
  METHODS
  Fourteen DPJ tube placements for enteral feeding were attempted in 13 patients with use of local anesthesia, fluoroscopic guidance, the Seldinger technique, and jejunopexy. There were nine male and four female patients with a mean age of 75.2 years (range, 45-95 years).
  
  
  RESULTS
  DPJ was successful in 11 of 13 patients. A mean follow-up of 58.9 days (range, 3-291 days) was obtained in all 11 patients.
  
  
  CONCLUSIONS
  DPJ is a safe and viable alternative for the creation and maintenance of long-term enteral tube feeding, particularly in patients with underlying esophagogastric malignancy, recurrent inadvertent tube dislodgement, or previous gastric surgery.
authors.affiliation: Division of Vascular and Interventional Radiology, Hartford Hospital, University of Connecticut School of Medicine.
authors.forename: M J
authors.initials: MJ
authors.lastname: Hallisey
authors.forename: J C
authors.initials: JC
authors.lastname: Pollard
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004750:Enteral Nutrition / Q000379:methods; D005260:Female; D006801:Humans; D007582:Jejunostomy / Q000295:instrumentation / Q000379:methods; D008297:Male; D008875:Middle Aged; D011677:Punctures