Friday September 22, 2006
PEG-J tube

PEG-J is a modification of standard percutaneous endoscopic gastrostomy (PEG). It is a dual tube - 2 ports PEG with a jejunal extension (9F jejunal extension with 20F PEG tube). The tip is positioned distal to the ligament of Treitz.

Advantage: It may decrease aspiration rate. (Doesn't eliminate completely).

Disadvantage: It has similar complications as has standard PEG tube including bleeding, perforation, peritonitis, cellulitis or organ damage but "J extension" may have added complications with migration of J-extension back into the stomach, kinking or clogging.

If jejunal feeding is desired, literature favors direct percutaneous endoscopic jejunostomy (20F tube directly into jejunum) instead of PEG with smaller 9F jejunal extension 1.


Reference:
1. Comparison of direct percutaneous endoscopic jejunostomy and PEG with jejunal extension Gastrointest Endosc. 2002 Dec;56(6):890-4.