Percutaneous endoscopic gastrostomy with jejunal extension versus direct percutaneous endoscopic jejunostomy: patient-related outcomes and complications
Giel J.L. van Neerven, Eline H.T. Gilissen, Roos Gielen, Arlinda Baars, Bianca M.L. Stelten, Hajo Flink, Lennard P.L. Gilissen · 2026
Read Percutaneous endoscopic gastrostomy with jejunal extension versus direct percutaneous endoscopic jejunostomy: patient-related outcomes and complications by Giel J.L. van Neerven, Eline H.T. Gilissen, Roos Gielen, Arlinda Baars, Bianca M.L. Stelten, Hajo Flink, Lennard P.L. Gilissen (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13439301.txt.
Description
Giel J L van Neerven and colleagues compare two ways of placing long-term feeding tubes into the small bowel, in a 2026 Dutch hospital study. One route threads a thin extension through a stomach opening; the other places the tube directly through the bowel wall. The threaded route is easier to insert and usually chosen first, yet head-to-head outcome data were scarce. Records covered 93 patients treated between 2010 and 2022, including people fed this way and Parkinson's patients on gut-delivered gel medicine.
Patients with the threaded route needed far more repeat scopes per year, mostly after extensions slipped out of place. Tube problems struck three quarters of that group, against a quarter of the direct group. Quality of life scores matched, though direct-route patients reported more tube pain. The authors back the direct route at skilled centres when extensions keep failing.
Catalog record
| CREATOR | Giel J.L. van Neerven, Eline H.T. Gilissen, Roos Gielen, Arlinda Baars, Bianca M.L. Stelten, Hajo Flink, Lennard P.L. Gilissen |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 33128 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |