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PEJ Tubes Are Being Used More Frequently
Those who tube-feed directly into the jejunum are increasingly being offered a new option, the percutaneous J-tube (PEJ), in addition to the standard G/J-tube and surgically placed J-tube. With the proper training, a gastroenterologist can percutaneously place a PEJ directly into the jejunum using a procedure that is similar to placing a PEG into the stomach. The PEJ has a bumper on the inside of the jejunum and the outside of the abdomen which helps hold it firmly in place, and thereby reduces the discomfort and irritation from a tube that rubs at the site because of a loose fit.
When the option is available, the PEJ is more advantageous than the G/J-tube because the diameter of the PEJ tube can be larger than the diameter of the J-tube portion of the G/J-tube, and thus shouldn’t get clogged as often. Using a PEJ also eliminates the possibility of the uncomfortable complication where the J-tube on G/J-tube flips back into the stomach.
In addition to eliminating the need for surgery, consumers may find the bumper-secured PEJ more desirable than the surgically placed J-tube because the latter usually requires a suture and has a tendency to fall out more easily.
For more information about the PEJ, and whether it is an option for you, speak with your gastroenterologist.
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