Gastrojejunal (GJ) tubes are used to feed patients who are unable to tolerate gastric feeding. The initial conversion of a gastrostomy (G) to a GJ tube or replacement of an existing GJ tube in children is typically performed fluoroscopically or endoscopically. These techniques can often be time-consuming, and the endo-scopic approach can be technically challenging given the predisposition for the GJ tube to displace during withdrawal of the endoscope. This case series describes an endoscopic technique in 7 pediatric patients whereby the GJ tube is anchored to the small bowel by using an endoclip. Although this technique has been reported in adults, this is the first description of endoscopic GJ tube placement in children.
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