Abstract
There are patients in whom aspiration remains a problem after plaeeznent of percutaneousendoscopic gastrectomy(PEG). Placing a jejunal feeding tube through a pre-existing PEG hasbeen performed as an alternative to patients with a history of aspiration pneumonia. However, placement of a jelunal feeding tube by conventional techniques is often difficult, This is adescrzption of the results of a simple device method for placement of thick jejunal tubes bymeans of using an ultrathin endoscope. The tube placement was accomplished in 16 patientswithin 15 minutes. Patient with placement of jejunal feeding tube by this method preventedfever end aspiration of feeding solution.