PEGJ or DirectPEJ Tube

Patients intolerant to intragastric feeds need to have a post-pyloric feeding tube. This is often due to a combination of gastroesophageal reflux, poor gastric motility, recurrent vomiting, and/or concern for pulmonary aspiration. One advantage of jejunal feeding includes reduction in the risk of aspiration, it is more beneficial for critically ill patients as nearly 15 to 60% of these patients are likely to have gastric feed intolerance (Heyland et al, 2001). In case of acute pancreatitis, jejunal feeding minimizes the stimulation of exocrine pancreatic secretions and helps to speed recovery and reduce overall complications.

The main disadvantage of a PEJ tube is difficulty in initial placement and subsequent proximal displacement. Some patients experience intolerance to feeding from rapid delivery of formula into the jejunum causing symptoms similar to that of dumping syndrome.

PEG-J and direct PEJ can be placed either endoscopi-cally or surgically. The complications from PEG-J are the same as those of PEG. The most unique complication related to PEG-J is migration of the jejunal tube from the small bowel (SB) back into the stomach. Another complication is intermittent SB obstruction caused by the large balloon type internal bolster.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

Get My Free Ebook

Post a comment