Safety and Efficacy of Percutaneous Jejunostomy Tube Placement Outperforms Surgical Methods

A retrospective analysis comparing direct percutaneous endoscopic jejunostomy (DPEJ) tube placement with laparoscopic (Lap-J) and open laparotomy (Open-J) surgical methods revealed similar procedural success rates and complication rates in all three approaches. However, patients who underwent DPEJ experienced significantly lower rates of tube dysfunction within 90 days compared to surgical groups, primarily due to reduced instances of tube clogging and dislodgement. DPEJ is a safe and effective alternative to surgical jejunostomy, providing eligible patients with improved outcomes and decreased complication rates.