Abstract
Transgastric jejunostomy is a more technically challenging procedure than standard percutaneous gastrostomy and requires additional equipment and extra procedural steps. The primary indications for gastrojejunostomy are the need for enteral feedings in patients with reflux and aspiration problems, gastroparesis, or gastroduodenal obstruction. The differences in comparison to simple gastrostomy in anatomic approach and technique are discussed. Transgastric jejunostomies can be created with a high degree of technical success and acceptably low complication rates.
