title: The Role of Percutaneous Endoscopic Transgastric Jejunostomy in the Management of Enteral Tube Feeding.
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.
authors: Department of Internal Medicine, Hiroshima Kyoritsu Hospital, 2-20-20 Nakasu Asaminami-ku, Hiroshima City, Japan. Email: easybs@hotmail.com.
authors: Ezekiel Wong
authors: EW
authors: Toh Yoon
keywords: Enteral nutrition; Gastrojejunostomy; Percutaneous endoscopic gastrostomy