What is a PEJ feeding tube?
John Castro
Published Mar 19, 2026
What is a PEJ feeding tube?
Percutaneous Endoscopic Jejunostomy (PEJ) – a feeding tube which is inserted through the abdominal wall directly into the small intestine (jejunum)
Why use a PEJ instead of a PEG?
When a single tube for feeding into the small bowel is needed, a PEJ is often preferred since the small bowel extension tube of the PEG-J tends to fall back into the stomach or become clogged. Low-profile devices should be considered as a replacement tube in patients requiring long-term enteral access.
What is a PEG-J feeding tube?
A PEG-J is a feeding tube that is passed through the abdominal wall and into the stomach. A smaller tube is then inserted through this and into your jejunum (small bowel). The PEG-J has two ends, one is marked with a G (gastrostomy) and leads into your stomach.
How is a PEJ tube inserted?
A small surgical cut is made through your skin and into your stomach. The PEG tube is inserted through the opening while the healthcare provider watches through the endoscope. The tube is held in place inside your stomach with the help of a special balloon or a cap.
What is the difference between a PEG tube and a PEJ tube?
A PEG is a feeding tube that is placed into your stomach (see Figure 1, left). If the tube can’t be placed into your stomach, you may have a PEJ tube placed instead (see Figure 1, right). A PEJ tube is placed in your jejunum, which is the second part of your small intestine.
What is the difference between a PEG tube and a rig tube?
It can be put in via two methods: PEG or RIG. PEG stands for Percutaneous Endoscopic Gastrostomy – inserted via a telescope down the food pipe. RIG stands for Radiologically Inserted Gastrostomy – inserted using X-ray guidance after having barium placed inside the stomach.
When do you use a PEJ tube?
When disease or circumstance interferes with the body getting the nutrients that it needs your doctor may recommend a PEG or a PEJ tube to deliver essential nourishment. The two procedures differ only where the tube is placed.
What is Pej?
A PEJ (percutaneous endoscopic jejunostomy) procedure is similar to the PEG, except the tube has to be placed into the intestine (jejunum) instead of the stomach. A PEJ is considered harder to maintain, long term, and used less often than a PEG.
How long can a person live with a PEG tube?
Survival curves for the three categories of patients based on subsequent PEG tube status (PEG, comfort care, and improved) are shown in Figure 2 (p = . 0001). Unadjusted median survival was 33 days for the comfort group (95% CI 9 , 124 days), and 181 days for the PEG group (95% CI 70, 318 days).
Why do feeding tubes go in your nose?
A nasogastric tube (NG tube) is a special tube that carries food and medicine to the stomach through the nose. It can be used for all feedings or for giving a person extra calories. You’ll learn to take good care of the tubing and the skin around the nostrils so that the skin doesn’t get irritated.
What are the complications of a PEG tube?
Major complications include necrotising fasciitis,esophageal perforation, gastric perforation, majorgastrointestinal bleeding, colo-cutaneous fistula, buriedbumper syndrome, and inadvertent PEG removal.