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Endoscopic approaches to enteral nutritional support.
Best Pract Res Clin Gastroenterol. 2006; 20(3):605-30.BP

Abstract

Enteral is preferred to parenteral nutritional support for acute and chronic diseases because it is more physiological and associated with fewer infection complications. Nasal tube feedings are generally used for 30 days or less and percutaneous access for the longer-term. Feeding by naso-gastric tubes is appropriate for most critically ill patients. However, trans-pyloric feeding is indicated for those with regurgitation and aspiration of gastric feeds. Deep naso-jejunal tube feeding is appropriate for patients with severe acute pancreatitis. There are several methods for endoscopic placement of naso-enteric tubes. Percutaneous endoscopic gastrostomy is used for most persons requiring long-term support. Long-term jejunal feeding is most often used for persons with chronic aspiration of gastric feeds, chronic pancreatitis intolerant to eating, or persons in need of concomitant gastric decompression. Percutaneous endoscopic gastrostomy with a jejunal tube extension is fraught with tube dysfunction and dislocation. Direct percutaneous endoscopic jejunostomy tubes may be more robust, but are less commonly performed.

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Authors+Show Affiliations

DiSario JA
University of Utah Health Sciences Center, 30 North 1900 East, 4R 118, Salt Lake City, UT 84132, USA. james.disario@hsc.utah.edu

MeSH

Endoscopy, GastrointestinalEnteral NutritionGastrostomyHumansIntubation, GastrointestinalJejunostomy

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16782532

Citation

DiSario, James A.. "Endoscopic Approaches to Enteral Nutritional Support." Best Practice & Research. Clinical Gastroenterology, vol. 20, no. 3, 2006, pp. 605-30.
DiSario JA. Endoscopic approaches to enteral nutritional support. Best Pract Res Clin Gastroenterol. 2006;20(3):605-30.
DiSario, J. A. (2006). Endoscopic approaches to enteral nutritional support. Best Practice & Research. Clinical Gastroenterology, 20(3), 605-30.
DiSario JA. Endoscopic Approaches to Enteral Nutritional Support. Best Pract Res Clin Gastroenterol. 2006;20(3):605-30. PubMed PMID: 16782532.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic approaches to enteral nutritional support. A1 - DiSario,James A, PY - 2006/6/20/pubmed PY - 2006/9/29/medline PY - 2006/6/20/entrez SP - 605 EP - 30 JF - Best practice & research. Clinical gastroenterology JO - Best Pract Res Clin Gastroenterol VL - 20 IS - 3 N2 - Enteral is preferred to parenteral nutritional support for acute and chronic diseases because it is more physiological and associated with fewer infection complications. Nasal tube feedings are generally used for 30 days or less and percutaneous access for the longer-term. Feeding by naso-gastric tubes is appropriate for most critically ill patients. However, trans-pyloric feeding is indicated for those with regurgitation and aspiration of gastric feeds. Deep naso-jejunal tube feeding is appropriate for patients with severe acute pancreatitis. There are several methods for endoscopic placement of naso-enteric tubes. Percutaneous endoscopic gastrostomy is used for most persons requiring long-term support. Long-term jejunal feeding is most often used for persons with chronic aspiration of gastric feeds, chronic pancreatitis intolerant to eating, or persons in need of concomitant gastric decompression. Percutaneous endoscopic gastrostomy with a jejunal tube extension is fraught with tube dysfunction and dislocation. Direct percutaneous endoscopic jejunostomy tubes may be more robust, but are less commonly performed. SN - 1521-6918 UR - https://www.unboundmedicine.com/medline/citation/16782532/Endoscopic_approaches_to_enteral_nutritional_support_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1521-6918(06)00011-4 DB - PRIME DP - Unbound Medicine ER -