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Direct percutaneous endoscopic jejunostomy.
Gastrointest Endosc Clin N Am. 1998 Jul; 8(3):569-80.GE

Abstract

Jejunal feeding often is preferable to gastric feeding, particularly in the following situations: high risk for aspiration; gastric resection (partial or total); gastric pull-up; gastric outlet obstruction; obstructed or nonfunctioning gastrojejunostomy; and gastric dysmotility. The technique of placing a thin tube through a gastrostomy tube and pulling it endoscopically into the proximal jejunum allows delivery of nutrients into the jejunum. The results of this technique, however, have been poor. The direct percutaneous endoscopic jejunostomy technique allows placement of tubes directly in the jejunum with a success rate of around 85% and a minimal complication rate which is comparable to that of PEGs.

Authors+Show Affiliations

Shike M
Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York, USA. shikem@mskcc.org
Latkany L
No affiliation info available

MeSH

Endoscopy, GastrointestinalEnteral NutritionGastrectomyGastric Outlet ObstructionGastrointestinal MotilityGastrostomyHumansJejunostomyJejunumPneumonia, AspirationStomachStomach DiseasesTreatment Outcome

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

9654569

Citation

Shike, M, and L Latkany. "Direct Percutaneous Endoscopic Jejunostomy." Gastrointestinal Endoscopy Clinics of North America, vol. 8, no. 3, 1998, pp. 569-80.
Shike M, Latkany L. Direct percutaneous endoscopic jejunostomy. Gastrointest Endosc Clin N Am. 1998;8(3):569-80.
Shike, M., & Latkany, L. (1998). Direct percutaneous endoscopic jejunostomy. Gastrointestinal Endoscopy Clinics of North America, 8(3), 569-80.
Shike M, Latkany L. Direct Percutaneous Endoscopic Jejunostomy. Gastrointest Endosc Clin N Am. 1998;8(3):569-80. PubMed PMID: 9654569.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Direct percutaneous endoscopic jejunostomy. AU - Shike,M, AU - Latkany,L, PY - 1998/7/9/pubmed PY - 1998/7/9/medline PY - 1998/7/9/entrez SP - 569 EP - 80 JF - Gastrointestinal endoscopy clinics of North America JO - Gastrointest Endosc Clin N Am VL - 8 IS - 3 N2 - Jejunal feeding often is preferable to gastric feeding, particularly in the following situations: high risk for aspiration; gastric resection (partial or total); gastric pull-up; gastric outlet obstruction; obstructed or nonfunctioning gastrojejunostomy; and gastric dysmotility. The technique of placing a thin tube through a gastrostomy tube and pulling it endoscopically into the proximal jejunum allows delivery of nutrients into the jejunum. The results of this technique, however, have been poor. The direct percutaneous endoscopic jejunostomy technique allows placement of tubes directly in the jejunum with a success rate of around 85% and a minimal complication rate which is comparable to that of PEGs. SN - 1052-5157 UR - https://www.unboundmedicine.com/medline/citation/9654569/Direct_percutaneous_endoscopic_jejunostomy_ DB - PRIME DP - Unbound Medicine ER -