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- Title
Top Tips for Direct Percutaneous Endoscopic Jejunostomy (DPEJ) Tube Placement.
- Authors
Ramai, Daryl; Morris, John D.; Fang, John
- Abstract
Direct percutaneous endoscopic jejunostomy (DPEJ) provides post-pyloric enteral access in patients unable to meet long-term nutritional needs per os in situations where gastric feeding is neither tolerated nor feasible. Specific conditions associated with feeding intolerance due to due to nausea, vomiting, or ileus include gastric outlet obstruction, gastroparesis, or complications of acute or chronic pancreatitis; infeasibility may be due to high aspiration risk or prior gastric surgery. Since performing DPEJ is not an ACGME requirement for GI fellows or early career gastroenterologists, not all trainees are taught this technique. Hence, provider expertise for teaching and performing this technique varies widely across centers. In this article, we provide top tips for successful performance of DPEJ.
- Subjects
JEJUNOSTOMY; GASTRIC outlet obstruction; GASTRIC bypass; TUBE feeding; CHRONIC pancreatitis; NUTRITIONAL requirements; GASTROPARESIS
- Publication
Digestive Diseases & Sciences, 2024, Vol 69, Issue 5, p1534
- ISSN
0163-2116
- Publication type
Article
- DOI
10.1007/s10620-024-08376-y