Transgastric feeding tubes combine both a gastrostomy tube which is placed in the stomach and a jejunal tube which is placed in the jejunum.

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We describe the case of an accidental transhepatic placement of a peg tube in a 78yearold morbidly obese female, even with excellent transillumination and manual external pressure achieved during endoscopic placement.	Gastrojejunostomy gj devices are also known as transgastric through the stomach jejunal feeding devices.

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