J-tube insertion and percutaneous trans-esophageal gastrotubing (PTEG) for long term enteral feeding

Abstract

For patients whoes oral intake is decreased because of some disorder, naso-gastric tubing has been commonly used for the purpose of enteral feeding. Because of its complications such as pneumonia and getting worse quality of life, percutaneous endoscopical gastrostomy (PEG) became widly used for patients who would need enteral feeding for a long time. It is expected that opportunity for endoscopists to make an enteral feeding route will be increased. PEG will do for many cases, but some patients may have contraindication of PEG. PEG may have little effect on improvement of nuturitional condition for some cases. J-tube insertion and PTEG can be performed and may improve nutritional condition in such cases. Endoscopists should be expert in these treatment, we think, so we illustrate usefulness of J-tube insertion and PTEG with clinical cases.