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Jejunostomy tubes designed for insertion into the jejunum using a long (160 cm or more) gastroduodenoscope; the distal tip remains in the jejunal lumen while the other catheter tip exits through a stab incision in the abdominal skin. These catheters usually consist of a large-bore (sizes from 14 to 28 French diameter are typical), thin-walled tube with an intraluminal bumper. The insertion procedure may be performed in outpatients or at the bedside using minimal sedation. Percutaneous endoscopic jejunostomy tubes are particularly suitable for long-term feeding in patients who are at increased risk of complications related to surgery; the catheters are of larger diameter and may be easier to place than jejunal catheters inserted by gastrostomy procedures.
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