Year 2017 / Volume 109 / Number 10
Editorial
Direct percutaneous endoscopic jejunostomy – Should we move on to single- and double-balloon enteroscopy techniques?

677-678

DOI: 10.17235/reed.2017.5182/2017

Klaus Mönkemüller, Carolina Olano, Steffen Rickes,

Abstract
Direct percutaneous endoscopic jejunostomy (DPEJ) is a useful technique to access the jejunum in order to: a) provide enteral nutrition to individuals when the gastric route is absent or contraindicated; and b) to decompress the jejunum in patients with malignant small bowel obstruction. Traditionally, DPEJ is performed using a colonoscope or enteroscope, which is advanced as deep as possible into the jejunum. The insertion technique of the feeding tube is identical to the one used for a gastrostomy tube (Ponsky-Gauderer method).
Share Button
New comment
Comments
No comments for this article
References
1. Maple JT, Petersen BT, Baron TH, et al. Direct percutaneous endoscopic jejunostomy: Outcomes in 307 consecutive attempts. Am J Gastroenterol 2005;100:2681-8. DOI: 10.1111/j.1572-0241.2005.00334.x
2. Panagiotakis P, Di Sario J, Hilden K, et al. DPEJ tube placement prevents aspiration pneumonia in high-risk patients. Nutr Clin Pract 2008;23(2):172-5. DOI: 10.1177/0884533608314537.
3. Lim AH, Schoeman MN, Nguyen NQ. Long-term outcomes of direct percutaneous endoscopic jejunostomy: A 10-year cohort. Endosc Int Open 2015;3(6):E610-4. DOI: 10.1055/s-0034-1392806.
4. Shike M, Latkany L, Gerdes H, et al. Direct percutaneous endoscopic jejunostomies for enteral feeding. Gastrointest Endosc 1996;44:536-40. DOI: 10.1016/S0016-5107(96)70005-6.
5. Mönkemüller K, Vormbrock K, Kassalik M, Sancar A. Direct percutaneousendoscopic jejunostomy tube placement using double-balloon enteroscopy. Gastrointest Endosc. 2012 Feb;75(2):463-5. doi: 10.1016/j.gie.2011.09.049. PubMed PMID: 22248617.
6. Aktas H, Mensink PB, Kuipers EJ, et al. Single-balloon enteroscopy-assisted direct percutaneous endoscopic jejunostomy. Endoscopy 2012;44(2):210-2. DOI: 10.1055/s-0031-1291442
7. Despott EJ, Gabe S, Tripoli E, et al. Enteral access by double-balloon enteroscopy: An alternative method of direct percutaneous endoscopic jejunostomy placement. Dig Dis Sci 2011;56(2):494-8. DOI: 10.1007/s10620-010-1306-2
8. Velázques-Aviña J, Beyer R, Díaz-Tobar CP, et al. New method of direct percutaneous endoscopic jejunostomy tube placement using balloon-assisted enteroscopy with fluoroscopy. Dig Endosc 2015;27(3):317-22. DOI: 10.1111/den.12352
9. Al-Bawardy B, Gorospe EC, Alexander JA, et al. Outcomes of double-balloon enteroscopy-assisted direct percutaneous endoscopic jejunostomy tube placement. Endoscopy 2016;48(6):552-6. DOI: 10.1055/s-0042-101853
10. Bernardes C, Pinho R, Rodrigues A, Proença L, Carvalho J. Direct percutaneous endoscopic jejunostomy using single-balloon enteroscopy without fluoroscopy: a case series. Rev Esp Enferm Dig 2017;109(10).
11. Del Piano M, Ballarè M, Carmagnola S, et al. DPEJ placement in cases of PEG insertion failure.Dig Liver Dis. 2008;40(2):140-3.
12. Strong AT, Sharma G, Davis M, et al. Direct Percutaneous Endoscopic Jejunostomy (DPEJ) Tube Placement: A Single Institution Experience and Outcomes to 30 Days and Beyond. J Gastrointest Surg. 2017 Mar;21(3):446-452. doi:10.1007/s11605-016-3337-2. Epub 2016 Dec 19. PubMed PMID: 27995433.
Related articles

Letter

A rare cause of obscure gastrointestinal bleeding

DOI: 10.17235/reed.2022.9156/2022

Letter

Development of Barrett’s esophagus after a total gastrectomy

DOI: 10.17235/reed.2020.7041/2020

Review

Advanced therapy by device-assisted enteroscopy

DOI: 10.17235/reed.2020.6971/2020

Editorial

Does it matter how long the small bowel is?

DOI: 10.17235/reed.2020.6980/2020

Special Article

Quality indicators in enteroscopy. Enteroscopy procedure

DOI: 10.17235/reed.2020.6946/2020

Review

Device-assisted enteroscopy training. A rapid review

DOI: 10.17235/reed.2020.6923/2020

Digestive Diseases Image

Enteroscopy in the diagnosis of melanoma metastases

DOI: 10.17235/reed.2020.6820/2019

Letter

Misplacement of a nasogastric feeding tube: a case report

DOI: 10.17235/reed.2020.6512/2019

Citation tools
Mönkemüller K, Olano C, Rickes S. Direct percutaneous endoscopic jejunostomy – Should we move on to single- and double-balloon enteroscopy techniques?. 5182/2017


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 189 visits.
This article has been downloaded 189 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 20/07/2017

Accepted: 26/07/2017

Online First: 18/09/2017

Published: 29/09/2017

Article Online First time: 60 days

Article editing time: 71 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology