What is a percutaneous endoscopic jejunostomy?

What is a percutaneous endoscopic jejunostomy?

Percutaneous endoscopic jejunostomy: (PEJ) A surgical procedure for placing a feeding tube into the jejunum (part of the small intestine) without having to perform an open laparotomy (an operation opening the abdomen).

What is the difference between a PEG and Pej?

A PEG is a feeding tube that is placed into your stomach (see Figure 1, left). If the tube can’t be placed into your stomach, you may have a PEJ tube placed instead (see Figure 1, right). A PEJ tube is placed in your jejunum, which is the second part of your small intestine.

Is jejunostomy a major surgery?

Although it is a relatively simple procedure, it can be associated with complications like bowel obstruction and metabolic abnormalities. Minimally invasive techniques are preferred in the placement of these tubes.

Why would someone need a jejunostomy?

The principal indication for a jejunostomy is as an additional procedure during major surgery of the upper digestive tract, where irrespective of the pathology or surgical procedures of the esophagus, stomach, duodenum, pancreas, liver, and biliary tracts, nutrition can be infused at the level of the jejunum.

How long does a jejunostomy take?

The procedure typically lasts in the operating room for one to three hours, and then in a post-anesthesia recovery area for another few hours.

Can you still eat and drink if you have a feeding tube?

It is normally okay to eat and drink if you needed the PEG tube because of: Weight loss. Not being able to gain weight. Just in case you are not able to eat enough.

What is the difference between a PEG and a jejunostomy?

A jejunostomy tube (J-tube) is a tube that is inserted directly into the jejunum, which is a portion of the small intestine. The endoscopic approach to placement is similar to the one used for the PEG tube. The only difference is that the doctor uses a longer endoscope to enter into the small intestine.

Can you shower with a jejunostomy tube?

Use cotton swabs to gently clean hard-to-reach places. Rinse your skin and dry it well. For the first 4-6 weeks, you may only take showers – do not put the tube under any water such as bath/hot tub. When showering, you can remove the dressing.

How long can a person live on a feeding tube?

A feeding tube can remain in place as long as you need it. Some people stay on one for life.

How long can a person live with a feeding tube in their stomach?

Can you live a normal life with a feeding tube?

Some patients who have feeding tubes are in the hospital and may be very sick. And some individuals with long-term feeding tubes are living at home and can still maintain an active lifestyle. Formula can be provided at a continuous rate (given over 24 hours) or given cyclic rate (e.