More than 30 years since it was initially described, direct percutaneous endoscopic
jejunostomy (DPEJ) is nowadays indicated for patients requiring long-term enteral
nutrition and presenting an altered gastric anatomy, impaired gastric emptying, or
a high risk of aspiration.
1
However, and unlike its “big brother,” PEG, DPEJ seems to not to have been widely
adopted in endoscopic routine practice. This is probably due to the technically challenging
features of the procedure and also to the fact that DPEJ often involves frail patients,
therefore raising concerns about unfavorable outcomes.Abbreviation:
DPEJ (direct percutaneous endoscopic jejunostomy), PEG (percutaneous endoscopic gastrostomy)To read this article in full you will need to make a payment
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References
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- Prognostic outcomes after direct percutaneous endoscopic jejunostomy in elderly patients: comparison with percutaneous endoscopic gastrostomyGastrointestinal EndoscopyVol. 94Issue 1
