Direct percutaneous endoscopic jejunostomy in the obese: proceed with caution
โ Scribed by John T. Maple
- Book ID
- 119245210
- Publisher
- Elsevier Science
- Year
- 2008
- Tongue
- English
- Weight
- 85 KB
- Volume
- 67
- Category
- Article
- ISSN
- 1097-6779
No coin nor oath required. For personal study only.
โฆ Synopsis
There are multiple options for securing longterm access for post-pyloric enteral nutrition, including PEG with a jejunal extension tube, direct percutaneous endoscopic jejunostomy, open and laparoscopic surgical jejunostomies, and direct jejunal catheter placement by interventional radiologists.
๐ SIMILAR VOLUMES
Background: Direct percutaneous endoscopic jejunostomy (DPEJ) is increasingly used as a method for obtaining jejunal enteral access. The most cited reason of unsuccessful placement is poor transillumination, which may be related to obesity. Whether obesity affects failure and complication rates has