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[Tube feeding - who, how and when]
1Medizinische Klinik, Klinikum Minden, Germany. a.dormann@t-online.de
Zeitschrift Fur Gastroenterologie
|April 4, 2002
Summary
Enteral nutrition uses various percutaneous feeding tube techniques, including percutaneous endoscopic gastrostomy (PEG), with alternatives for unsuccessful cases. Proper technique and follow-up ensure successful long-term outcomes and improved quality of life.
Area of Science:
- Gastroenterology
- Medical Devices
- Surgical Techniques
Context:
- Enteral nutrition is a long-established feeding method.
- Percutaneous tube feeding techniques have evolved over the past two decades.
- Percutaneous endoscopic gastrostomy (PEG) is a common technique, particularly the pull-through method in Germany.
Purpose:
- To demonstrate various enteral nutrition tube techniques.
- To outline indications and contraindications for each technique.
- To discuss long-term follow-up and care strategies for enteral feeding.
Summary:
- This article reviews established and alternative percutaneous enteral nutrition tube techniques.
- It covers indications, contraindications, and the use of secondary systems like button gastrostomy for improved quality of life.
- Emphasis is placed on standardized insertion techniques and integrated aftercare for successful long-term outcomes.
Impact:
- Provides a comprehensive overview of enteral nutrition tube placement options.
- Aims to guide clinicians in selecting the most appropriate technique for individual patients.
- Highlights the importance of technique standardization and follow-up for optimizing patient care and quality of life.