Peg J Tube Placement

Percutaneous endoscopic gastrostomy peg and percutaneous endoscopic gastro jejunal peg j tubes are common procedures in the management of patients who require long term nutritional support. A pej tube is placed in your jejunum which is the second part of your small intestine.

Choosing The Right Tube For You Oley Foundation

The tube is placed during an endoscopy a procedure that lets your doctor see inside your stomach and small intestine.

Peg j tube placement. Currently peg j can also be performed using large bore gastrojejunal tubes up to 24 fr size which are placed directly through the peg site with or without the aid of endoscopy 14 21 the larger tubes should theoretically reduce the frequency of tube dysfunction and tubes with gastric decompression holes like the ones used in our hospital also provide an outlet for excessive gastric secretions during jejunal feeding. A 24 fr peg was placed and a 12 fr jejunostomy catheter was passed through the peg into the jejunum figure 2. Peg j placement is usually performed as a 2 step procedure and is used for a variety of conditions such as gastroparesis.

Taping of peg and j tubes flush to the abdominal wall immediately after placement may increase lateral tension on the tubes increasing the risks of peritonitis pneumoperitoneum and leakage. Peg tube placement left and pej tube placement right. The endoscope is then advanced through your esophagus the food pipe leading from your mouth into your stomach and into your stomach.

Peg tube p. During the peg tube placement procedure a physician places an endoscope a long thin flexible instrument about 1 2 inch in diameter into your mouth. First the peg tube is placed using endoscopic transillumination followed by tube placement with the pull method and trimming of the peg tube to approximately 20 cm.

A percutaneous endoscopic gastrostomy peg tube is a soft plastic tube placed in the stomach through the skin percutaneously with the help of an endoscope. To the best of our knowledge there are no studies comparing d pej and. 28 the peg j procedure requires more than a peg procedure increasing the risk of peritonitis.

Finally peritonitis may be increased in this population due to the mobility of the patients resulting in accidental pulling removal of the tube. The j tube jejunostomy tube on the other hand is a soft plastic tube placed through the skin of the abdomen into the mid section of the small intestine the jejunum. They serve as alternatives to enteral feeding and laparotomy guided placement of feeding tubes.

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