
Percutaneous Endoscopic Jejunostomy, or PEJ, involves placing a feeding tube directly into the jejunum (part of the small intestine) when the stomach cannot be used. This is often chosen for patients with specific gastrointestinal conditions or those who have undergone certain types of surgery.
Indications for a PEJ include:
Similar to a PEG, the PEJ procedure involves sedation and the use of an endoscope. However, the tube is placed further into the gastrointestinal tract, directly into the jejunum. This method ensures that nutrition bypasses the stomach, delivering sustenance directly where it can be absorbed.
Positioning: You will lie on your back on the examination table, similar to the positioning for a PEG.
Sedation: You will receive sedation to ensure comfort throughout the procedure.
Scope Insertion: An endoscope is inserted through your mouth, passed through the stomach, and into the small intestine, specifically the jejunum.
Tube Placement: Once the appropriate site in the jejunum is identified, the doctor will create a small opening through the abdominal wall and place the feeding tube directly into the jejunum.
Stoma Care: The insertion site is carefully secured and dressed to minimize the risk of infection and ensure proper healing.
Complications from PEJ can include:
Alert your doctor if you experience:
Each gastrointestinal procedure requires specific preparations to ensure your safety and the success of the treatment. Here are some general guidelines:
Please consult your doctor for detailed preparation instructions tailored to your health needs and the specific procedure.
Scheduling your appointment is through your gastroenterologist or by physician referral to one of our gastroenterologists.
Please contact your Gastroenterologist's office to schedule an exam/appointment. Contact us at 909.865.9141 for inquiries or questions.
If you do not have a primary care physician, please visit our website, mypvhc.com, to schedule an appointment with a primary care physician.
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