Direct percutaneous endoscopic jejunostomy using transgastrostomic endoscopy

Shinji Nishiwaki, Youhei Shirakami, Hiroshi Araki, Yukari Niwa, Masaya Kubota, Naoe Gotoh, Masahide Iwashita, Nobuhito Onogi, Takao Hayashi, Teruo Maeda, Koushirou Saitoh

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


[Purpose] Direct percutaneous endoscopic jejunostomy (D-PEJ) was performed using transgastrostomic endoscopy (TGE) in patients with repeated reflux or aspiration of gastric contents infused through PEG. [Methods] TGE was performed with a small-caliber endoscope GIF-XP240 (Olympus, Tokyo). One-Step Button™ (Boston Scientific, Natick, MA) was placed with the pull method under the guidance of TGE and fluoroscopy. [Results] D-PEJ were able to be placed on the upper jejunum in 9 patients except one case of dislocation of the upper jejunum after test puncture. There was no important procedure-related morbidity. No radioactivity in the stomach was observed during 60 min. after infusion of liquid meal mixed with Tc-99m Sn-colloid through D-PEJ in all patients. [Conclusion] D-PEJ using TGE was a useful and safe method without using a small bowel endoscope or overtube.

Original languageEnglish
Pages (from-to)1436-1441
Number of pages6
Issue number7
Publication statusPublished - 07-2005
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology


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