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[Enteral nutrition: techniques and indications]
1GRAD, Service des Maladies de l'Appareil Digestif et de la Nutrition, Hôpital Charles-Nicolle, 76031 Rouen Cedex. claire.guedon@chu-rouen.fr
Annales De Medecine Interne
|February 15, 2001
Summary
Enteral nutrition is preferred for patients with a functioning digestive tract. Advances in enteral feeding tubes, like naso-jejunal tubes, offer safe and effective nutritional support with improved patient outcomes.
Area of Science:
- Gastroenterology and Clinical Nutrition
- Medical Device Technology
Context:
- Enteral nutrition is the preferred method over parenteral nutrition when the digestive tract is intact.
- Naso-gastric tubes are common for enteral feeding, but naso-enteral tubes (naso-duodenal and naso-jejunal) are gaining importance.
Purpose:
- To review the applications and advancements in enteral nutrition delivery methods, focusing on naso-enteral tubes.
- To discuss the indications, insertion procedures, and position verification of various enteral feeding tubes.
Summary:
- Naso-enteral tubes demonstrate efficacy in intensive care settings, acute pancreatitis, and for managing aspiration pneumonia linked to gastro-esophageal reflux.
- Gastro- and jejunostomies are indicated for long-term enteral nutrition (>1 month).
- Tube placement is typically confirmed by X-ray, though clinical methods like auscultation are frequently used, especially at home.
Impact:
- Technical improvements have made enteral nutrition a simple, cost-effective, and low-risk treatment option.
- The increasing use of naso-enteral tubes signifies a shift towards more targeted and effective nutritional support.