Percutaneous endoscopic gastrojejunostomy is a percutaneous endoscopic
gastrostomy derived technique, that is widely employed. However it ha
s a high incidence of mechanic complications. Percutaneous endoscopic
jejunostomy direct access, improves these problems and allows to apply
this technique in patients with previous gastric resection or with ot
her gastric diseases that contraindicate percutaneous endoscopic gastr
ostomy. We describe, for the first time in our country, a direct percu
taneous endoscopic jejunostomy placement.