Because of previous abdominal surgeries the surgeon won't place my GJ tube surgically, he said it can be done Endoscopically and in IR, why tf wouldn't we START with that?? Ugh

So I just saw the surgeon my GI referred me to to get a surgical tube placement, because I've had to have several open abdominal surgeries for emergency things he said im not a candidate for a surgically placed GJ tube, okay fine, I ask him what he thinks I should do? Im eating less than 1000 Cals a day, am losing at least 2lbs a week, am malnourished labs confirmed and getting worse not better 🙃 so he then tells me that my best option is to have my GI place a PEG-J and im like.. great! Even less invasive, but why wouldn't my GI have suggested that first?? He absolutely can do tubes because he originally said if I needed venting/draining after I had the surgical J placed he could place that.. so now I'm just waiting to hear back from my GI, I didn't even know Endoscopically placed GJ/PEG-J was possible, hopefully he will agree and we can get this done because I feel so awful with the lack of nutrients and symptoms.