What is the main indication for performing a percutaneous jejunostomy?

The primary reason for performing a percutaneous jejunostomy is for feeding purposes. This procedure is specifically indicated for patients who require enteral nutrition but are unable to obtain adequate nutritional intake orally or through other means, such as a nasogastric tube. Conditions such as neurological disorders, head and neck cancers, or severe swallowing difficulties make oral feeding impractical or unsafe, necessitating an alternative route for nutrient delivery.

A percutaneous jejunostomy allows for direct access to the jejunum, providing a more permanent solution for long-term nutritional support compared to temporary options like nasal feeding tubes. It is particularly suited for patients who may need extended nutritional support, as it facilitates feeding directly into the small intestine, thereby minimizing the risk of aspiration and maximizing nutritional absorption.

Other options, such as preparing for surgery, pain management, or fluid drainage, do not capture the primary intention of this procedure. The focus is solely on delivering enteral nutrition effectively and safely.