Percutaneous endoscopic gastrostomy and direct percutaneous endoscopic jejunostomy: 2 sides of the same coin

More than 30 years since it was initially described, direct percutaneous endoscopic jejunostomy (DPEJ) is nowadays indicated for patients requiring long-term enteral nutrition and presenting an altered gastric anatomy, impaired gastric emptying, or a high risk of aspiration. 1 Arvanitakis M. Gkolfakis P. Despott E.J. et al. Endoscopic management of enteral tubes in adult patients - part 1: definitions and indications. European Society of...