Percutaneous Endoscopic Jejunostomy (PEJ) is a minimally invasive procedure where a feeding tube is placed into the jejunum, part of the small intestine, for long-term nutritional support. This procedure is performed when the stomach cannot be used for feeding, often due to conditions like gastric bypass, severe reflux, or gastroparesis.

PEJ is performed under endoscopic guidance, allowing the surgeon to insert the tube with minimal disruption to surrounding tissues. The procedure is typically performed under local anesthesia and mild sedation, making it less invasive than traditional surgery.

Postoperative care includes managing the PEJ tube, ensuring proper nutrition, and monitoring for complications like tube displacement or infection. Patients typically require close follow-up to ensure that the tube remains functional and infection-free.

PEJ is an effective option for patients who need long-term feeding support but cannot use their stomach. This procedure improves nutritional intake and helps maintain patient health while addressing complex gastrointestinal conditions.