Direct Percutaneous Endoscopic Jejunostomy for the Management of Gastroparesis in Pregnancy

Academic Article


  • BACKGROUND: Providing meaningful nutrition in cases of refractory hyperemesis during pregnancy can be challenging; although intragastric enteral nutrition is the most common approach, it is contraindicated in certain cases and carries the risk of increased nausea and vomiting. CASE: A 36-year-old primigravid woman with a history of gastroparesis presented at 16 weeks of gestation with nausea and vomiting. With no improvement with conventional approaches and signs of malnutrition, a direct percutaneous endoscopic jejunostomy was placed. Her nutritional status improved, and the pregnancy ended in the delivery of a healthy neonate. CONCLUSION: Direct percutaneous endoscopic jejunostomy in pregnancy is an option in patients in whom intragastric feeding is contraindicated and may offer a more secure approach than percutaneous gastrojejunostomy.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Rupani SV; Ergen WF; Weber F; Peter S
  • Start Page

  • 871
  • End Page

  • 874
  • Volume

  • 131
  • Issue

  • 5