Which device is surgically placed through the abdomen into the jejunum to deliver enteral feeds?

• A. Percutaneous Endoscopic Gastrojejunostomy tube- PEG-J tube
• B. Percutaneous Endoscopic Gastrostomy tube- PEG tube
• C. Nasogastric tube- NG tube
• D. Ileostomy

Answer: (A)

Delivering feeds beyond the stomach requires access that reaches the small intestine. A tube that is placed through the abdominal wall and has its tip in the jejunum is a gastrojejunostomy feeding tube, commonly called a PEG-J. It combines a gastric access (the PEG) with a jejunal extension so nutrition flows directly into the jejunum, bypassing the stomach when needed. This is different from a standard PEG tube, which sits in the stomach, an NG tube that goes from the nose to the stomach, and an ileostomy, which is a surgical opening of the ileum for stool diversion.