Abstract： Non-surgical jejunostomy, including endoscopic and iconographic guided jejunostomy is an important method for enteral nutrition access establishment, which is especially beneficial to the patients with gastrectomy, high risk of aspiration or gastric dysmotility. “Chinese experts consensus on nutritional access of cancer patients (2018)”, which was released by the the Nutritional Access Group of Chinese Society for Oncological Nutrition and Supportive Care, suggested several recommendations on nonsurgical jejunostomy. Here we provide further related information for the recommendations , including the technical characteristics of percutaneous endoscopic gastrojejunostomy and direct percutaneous endoscopic jejunostomy, the advanced modification on localization techniques of tube placement and puncturing site selection, the updated evidences on clinical application of sonographic/ radiologic jejunostomy and combined techniques. We also previewed related literatures and interpret the optional strategy of percutaneous endoscopic gastrojejunostomy or direct percutaneous endoscopic jejunostomy in patients who are unsuitable for percutaneous gastrostomy, the technological difficulties and resolutions in direct percutaneous endoscopic jejunostomy, the technical progress and clinical significance of radiologic application in non-surgical jejunostomy, and the positive role of single-balloon enteroscopy or double-balloon enteroscopy in improving the success rate of direct percutaneous endoscopic jejunostomy.
杨志勇，魏晶晶，庄则豪. 中国恶性肿瘤营养治疗通路专家共识解读：非外科空肠造口[J]. 肿瘤代谢与营养电子杂志, 2018, 5(2): 139-143.
YANG Zhi-yong, WEI Jing-jing, ZHUANG Ze-hao . Interpretation of Chinese experts consensus on nutritional therapy access of cancer patients: non-surgical jejunostomy. Electronic Journal of Metabolism and Nutrition of, 2018, 5(2): 139-143.
