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.
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.
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.
Direct percutaneous endoscopic jejunostomy is a reasonable enteral feeding option in pregnancy.
Division of Gastroenterology, University of Alabama at Birmingham, Birmingham, Alabama; and the University College Dublin, School of Medicine and Medical Sciences, Dublin, Ireland.
Corresponding author: Sawan Vijay Rupani, email: sawanrupani@hotmail.com.
Financial Disclosure The authors did not report any potential conflicts of interest.
Each author has indicated that he or she has met the journal's requirements for authorship.
