We are independent & ad-supported. We may earn a commission for purchases made through our links.
Advertiser Disclosure
Our website is an independent, advertising-supported platform. We provide our content free of charge to our readers, and to keep it that way, we rely on revenue generated through advertisements and affiliate partnerships. This means that when you click on certain links on our site and make a purchase, we may earn a commission. Learn more.
How We Make Money
We sustain our operations through affiliate commissions and advertising. If you click on an affiliate link and make a purchase, we may receive a commission from the merchant at no additional cost to you. We also display advertisements on our website, which help generate revenue to support our work and keep our content free for readers. Our editorial team operates independently of our advertising and affiliate partnerships to ensure that our content remains unbiased and focused on providing you with the best information and recommendations based on thorough research and honest evaluations. To remain transparent, we’ve provided a list of our current affiliate partners here.

What is a Gastrojejunostomy?

By Amanda Barnhart
Updated Mar 03, 2024
Our promise to you
The Health Board is dedicated to creating trustworthy, high-quality content that always prioritizes transparency, integrity, and inclusivity above all else. Our ensure that our content creation and review process includes rigorous fact-checking, evidence-based, and continual updates to ensure accuracy and reliability.

Our Promise to you

Founded in 2002, our company has been a trusted resource for readers seeking informative and engaging content. Our dedication to quality remains unwavering—and will never change. We follow a strict editorial policy, ensuring that our content is authored by highly qualified professionals and edited by subject matter experts. This guarantees that everything we publish is objective, accurate, and trustworthy.

Over the years, we've refined our approach to cover a wide range of topics, providing readers with reliable and practical advice to enhance their knowledge and skills. That's why millions of readers turn to us each year. Join us in celebrating the joy of learning, guided by standards you can trust.

Editorial Standards

At The Health Board, we are committed to creating content that you can trust. Our editorial process is designed to ensure that every piece of content we publish is accurate, reliable, and informative.

Our team of experienced writers and editors follows a strict set of guidelines to ensure the highest quality content. We conduct thorough research, fact-check all information, and rely on credible sources to back up our claims. Our content is reviewed by subject-matter experts to ensure accuracy and clarity.

We believe in transparency and maintain editorial independence from our advertisers. Our team does not receive direct compensation from advertisers, allowing us to create unbiased content that prioritizes your interests.

A gastrojejunostomy is a surgical procedure that directly connects the stomach to the jejunum, the second section of the small intestine, by a small tube. The tube allows food, liquids, and medications to bypass the duodenum, the first section of the small intestine. People who have stomach or duodenum blockages, often caused by stomach or pancreas cancer, and cannot properly digest food may need to have this procedure done. In one common version of this procedure, one end of the tube is left in the patient's intestines, with the other end outside of the abdomen, to be used for feeding and giving nutrients for as long as necessary; this is often referred to as a GJ tube or feeding tube.

How the Surgery Is Performed

During the surgery, the patient may be offered sedatives to help reduce the pain, a local anesthetic to numb the incision area, or in some cases be put to sleep with general anesthesia. Some other preparatory steps include setting up and using an ultrasound machine to enable the health care specialist to view exactly where to insert and move the tube. The stomach is filled with air and stapled to the abdomen so the tube can be placed properly; the staples are usually removed the next day. The skin around the incision area is also cleansed to kill any bacteria.

At this point, the patient should be ready for the surgeon to create an opening in the abdomen. There are two basic methods of making the incision: the original gastrojejunostomy procedure, which uses an open cut in the abdomen, and a percutaneous gastrojejunostomy, which uses a small, needle-like puncture in the abdomen. Both methods access the stomach and jejunum through the patient's abdomen, but the second method generally creates a much smaller incision than the first; this usually results in less bleeding, fewer complications, and a faster recovery. Once the incision has been made, the tube is inserted into the stomach, usually just below the rib cage.

Recovery

The entire procedure usually takes about one hour and is relatively painless; however, pain medication may be given if there is discomfort. Once the tube is in place and the incision is closed, the patient will spend about 24 hours in the hospital to be monitored and to learn how to properly use and care for the feeding tube. The GJ tube and surgical incision must be kept clean and sterile to avoid infection. In many cases, a caregiver will also learn how to use and care for the feeding tube in case the patient is unable to do it alone.

How To Prepare

Before undergoing this type of surgery, the patient should be sure to inform his or her doctor of any medications that are being used. It may be necessary to stop taking or reduce the medications ahead of time as some may cause complications. The health care staff should also be told about any allergic reactions to medications or anesthetics and any other health conditions the patient has experienced in the past. Gastrojejunostomy patients should fast before surgery, generally for a minimum of six hours; the length of the fast and whether or not the fast includes abstaining from both food and liquids should be verified with the health care provider.

Risks

As with most surgeries, there is a risk that side effects can occur after the operation. Infection can occur around the incision in the abdomen, as well as internally. Occasionally, bleeding will occur internally or at the incision, resulting in an excessive loss of blood. During a percutaneous gastrojejunostomy, it is possible for an organ to be punctured when the incision is made. Other risks include leaking between the stomach and small intestines, problems with intestines slowing down or not working, and side effects from anesthesia or other medication.

The Health Board is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.
Discussion Comments
By anon1002783 — On Feb 14, 2020

I'm wondering how much does this surgery cost? I have a sibling that needs to have it done asap as shes very ill and has failing kidneys with it. I'm wondering if anyone knows a surgeon in Pasco County in Florida who does this particular surgery and if she could do it for an indigent patient. I'm so desperate to find her a surgeon that could do it as her medical insurance doesn't cover it. Please, could someone help us? If anyone knows of a surgeon who could do it and who would take indigent care, please reply to me.

By anon971654 — On Sep 28, 2014

I just had a gastrojejunostomy, and I was in the hospital for eight days after the procedure. I just got out today. I have a long incision -- about eight inches long. I was having vomiting and a lot of acid reflux and was told my pancreas was constricted, not allowing my stomach to empty. So far, so good. I still have the staples in my incision and will get them out this week.

By dudla — On May 12, 2011

I wonder how common it is for a patient to get both a partial gastrectomy and a gastrojejunostomy. Does that ever happen?

By pixiedust — On May 11, 2011

Aha! So a gastrectomy is a surgery that removes part (or all) of the stomach -- usually for stomach cancers -- and a gastrojejunostomy is a surgery that inserts a tube to feed medicines to the stomach -- usually for people with cancers too. But the gastrectomy is more about getting rid of the cancer and Gastrojejunostomies are about helping to get needed medicines to treat the cancer. Both seem to be done laparoscopically these days.

By TeaPotFreak — On May 09, 2011

@cakesalot - I *think* that if you've been on blood thinners (like Coumadin or aspirin even) you can still possibly have the surgery. I think your doctor will just ask you to stop taking those medications for a period of time (like a week) before the surgery. Still, you should ask your doctor for the truly right answer for you -- everyone's different and really to get the *true* answer you'll need a trained physician to tell you what's right for you.

By cakesalot — On Apr 08, 2011

Can a patient that has been on long term use of Coumadin due to heart surgery be a candidate for this procedure if the nasogastric tube is not an option?

The Health Board, in your inbox

Our latest articles, guides, and more, delivered daily.

The Health Board, in your inbox

Our latest articles, guides, and more, delivered daily.