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Direct percutaneous endoscopic jejunostomy (DPEJ) is commonly used to achieve enteral access. Successful DPEJ requires the ability to transilluminate and localize the position of the endoscope relative to the abdominal surface. Could increased thickness of the abdominal wall, related to obesity, influence the success and complication rates of this procedure?
To address this question, investigators retrospectively reviewed data from 75 DPEJs performed at a tertiary referral center in Utah during a 6-year period. Patients who underwent these procedures were categorized as underweight (body-mass index [BMI] <18.5), normal weight (BMI 18.5–24.9), overweight (BMI 25.0–29.9), or obese (BMI ≥30).
Overall, DPEJ was successful in 81% of patients. Succ…