{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T19:39:02Z","timestamp":1775072342877,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T00:00:00Z","timestamp":1688947200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Percutaneous jejunal enteral access can be obtained with percutaneous endoscopic gastric jejunostomy (PEGJ) and direct percutaneous endoscopic jejunostomy (DPEJ) tubes. PEGJ may not be feasible in patients with previous gastric resection (PGR) and DPEJ may be the only option. Our aim is to determine if DPEJ tubes can be placed successfully in patients with history of gastrointestinal (GI) surgery and if success rates are comparable to DPEJ or PEGJ in those without prior GI surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reviewed all tube placements performed from 2010 to present. Procedures were performed using a pediatric colonoscope. Previous upper GI surgery was defined as PGR or esophagectomy with gastric pull\u2010up. Adverse events (AEs) were graded per\u00a0American Society for Gastrointestinal Endoscopy criteria. Mild events included unplanned medical consultation or hospitalization &lt;3 days, and moderate events included repeat endoscopy without surgical intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Successful placement rates were high regardless of GI surgical history. Patients receiving a DPEJ with a history of GI surgery were significantly less likely to experience an AE compared with those receiving DPEJ with no history and compared with PEGJ patients with or without a history.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>DPEJ placement in patients with previous upper GI surgery has very high success rate. It is associated with lower AE rates than patients receiving DPEJ without previous gastric surgery, or PEGJ regardless of previous gastric surgery. Patients with a history of upper GI surgery requiring enteral access may benefit from DPEJ over PEGJ placement considering its very high success rate and lower incidence of AEs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpen.2531","type":"journal-article","created":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T22:44:00Z","timestamp":1686264240000},"page":"796-801","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Safety and efficacy of direct percutaneous endoscopic jejunostomy placement in patients with previous upper gastrointestinal resection: A retrospective cohort study"],"prefix":"10.1002","volume":"47","author":[{"given":"Keegan","family":"Colletier","sequence":"first","affiliation":[{"name":"Division of Gastroenterology University of Utah Salt Lake City Utah USA"},{"name":"Division of Gastroenterology University of Texas Medical Branch Galveston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greg","family":"Toy","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology University of Utah Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Freeman","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology University of Utah Salt Lake City Utah USA"},{"name":"School of Medicine Virginia Commonwealth University Richmond Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Dixon","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology University of Utah Salt Lake City Utah USA"},{"name":"Texas Tech University Health Sciences Center Lubbock Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Morris","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology University of Utah Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Sossenheimer","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology University of Utah Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3274-3979","authenticated-orcid":false,"given":"John","family":"Fang","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology University of Utah Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,7,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1983.01390080021006"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(87)90312-X"},{"issue":"4","key":"e_1_2_8_4_1","first-page":"407","article-title":"Complications related to percutaneous endoscopic gastrostomy (PEG) tubes. A comprehensive clinical review","volume":"16","author":"Schrag SP","year":"2007","journal-title":"J Gastrointestin Liver Dis"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2006.03.320"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(02)70366-0"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.10.027"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2010.10.021"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(87)71642-3"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.4065\/75.8.807"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2003.155"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00843456"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2005.00334.x"},{"issue":"6","key":"e_1_2_8_14_1","first-page":"890","article-title":"Direct percutaneous endoscopic jejunostomy and PEG with jejunal extension","volume":"56","author":"Shike M","year":"1996","journal-title":"Gastrointest Endosc"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/jcrc.2001.30667"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-38156"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00012353"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607195019003239"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.1023"}],"container-title":["Journal of Parenteral and Enteral Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpen.2531","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T09:27:37Z","timestamp":1760866057000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.2531"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,10]]},"references-count":18,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1002\/jpen.2531"],"URL":"https:\/\/doi.org\/10.1002\/jpen.2531","archive":["Portico"],"relation":{},"ISSN":["0148-6071","1941-2444"],"issn-type":[{"value":"0148-6071","type":"print"},{"value":"1941-2444","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,10]]},"assertion":[{"value":"2022-09-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}