Nasojejunal feeding tube placement in children: four-year cumulative experience.

Pobiel, R.S.; Bisset, George S.; Pobiel, M S

doi:10.1148/radiology.190.1.8259389

Cited by 37 publications

(13 citation statements)

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“…A more sophisticated approach is to use an angled angiographic catheter to advance the guide wire through the pylorus and beyond the ligament of Treitz and then advance the feeding tube over the wire. This modification increases the success rates to 97% (56). This method is especially popular in the pediatric patient population (56,57).…”

Section: Placement Of Nj or Oj Tubes Under Image Guidancementioning

confidence: 99%

Multidisciplinary Practical Guidelines for Gastrointestinal Access for Enteral Nutrition and Decompression From the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, With Endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE)

et al. 2011

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Section: Placement Of Nj or Oj Tubes Under Image Guidancementioning

confidence: 99%

Multidisciplinary Practical Guidelines for Gastrointestinal Access for Enteral Nutrition and Decompression From the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, With Endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE)

et al. 2011

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“…A second technique requires the use of an angled angiographic catheter that helps the technician to place the wire beyond the Treitz angle. When this is achieved, the catheter is withdrawn and the feeding tube is passed over the wire [21]. 3.…”

Section: Under Fluoroscopic Controlmentioning

confidence: 99%

Enteral access in adults

et al. 2015

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“…• Ideally, nasoenteric tubes should be placed into the distal duodenum or jejunum (ie, beyond the ligament of Treitz). Smaller tubes tend to pass more easily [39,40]. The tubes should be placed radiographically and/or endoscopically, but in a pinch they can be placed at the bedside.…”

Section: Postpyloric Enteral Nutritionmentioning

confidence: 99%

Gastric and postpyloric total enteral nutrition

Abou-Assi¹,

Khurana²,

Schubert

2005

Curr Treat Options Gastro

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The provision and maintenance of good nutrition in patients with acute and chronic illness is a fundamental part of standard medical and surgical care. Recently, there is great interest in using enteral nutritional support to reverse the morbidity and mortality associated with malnutrition. Enteral nutrition is preferred over parenteral nutrition because it is more physiologic, maintains intestinal structure and function, limits bacterial translocation, has less morbidity, has fewer complications, and is less expensive. However, the decision to feed into the stomach or into the small bowel (postpyloric) continues to be a matter of some debate and continued clinical investigation. Although the gastric route of enteral feeding is easier and less expensive, some physicians worry that gastric feeding may predispose to aspiration and pneumonia, especially in critically ill patients who frequently have delayed gastric transit. In these critically ill patients, small bowel function usually remains relatively intact and placement of a postpyloric feeding tube may permit more effective delivery of nutrients. However, it should be noted that placement of postpyloric feeding tubes can be challenging, and this may lead to a delay in initiation of nutritional support.

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Nasojejunal feeding tube placement in children: four-year cumulative experience.

Abstract: Fluoroscopic guidance of placement of nasojejunal feeding tubes in children is successful, but the radiation exposure is not negligible and must be weighed against the need for nasojejunal feeding.

Cited by 37 publications

References 0 publications

Enteral access in adults

Gastric and postpyloric total enteral nutrition

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