Abdominal
Fig. 6. An endoscopically placed G-J tube. For patients in whom feeding infusions directly into the stomach are contraindicated, e.g., gastroesophageal reflux, a J-tube can be placed through a gastrostomy tube to permit infusion directly into the duodenum/jejunum.
J-Tube
J-Tube g External bolster PEG-tube
Sutures
Jejunal loop
Fig. 7. An externally anchored surgically placed J-tube.
Jejunal loop
Fig. 7. An externally anchored surgically placed J-tube.
- Fig. 8. A Roux-en-Y jejunostomy with a low-profile port.
abdominal wall and into the jejunum followed by insertion of a feeding catheter over a guidewire into the jejunum with the introducer (Fig. 9).
Laparoscopic jejunostomies are safe and efficacious and may be placed peri-operatively at the time of laparoscopic gastrostomy for gastric decompression (26). The
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