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Advances in enteral nutrition techniques.
1University of Illinois College of Medicine, Rockford.
The American Journal of Gastroenterology
|November 1, 1992
Summary
Physicians need updated knowledge on diverse enteral access techniques, including percutaneous endoscopic gastrostomy (PEG) and jejunostomy (PEJ), to support early postoperative feeding in critically ill patients.
Area of Science:
- Gastroenterology
- Surgical Procedures
- Nutritional Support
Background:
- Enteral nutrition use is increasing in hospitals.
- Early postoperative feeding is popularized by immunonutrition and gut support concepts.
- Gastroenterologists and surgeons play a key role in providing enteral access.
Purpose of the Study:
- To review diverse enteral access techniques for physicians.
- To highlight advancements beyond standard PEG and PEJ.
- To cover techniques for specific patient needs, including cancer patients.
Main Methods:
- Review of current literature and techniques.
- Focus on percutaneous endoscopic gastrostomy (PEG) and jejunostomy (PEJ).
- Discussion of novel methods like steerable catheters and double-lumen tubes.
Main Results:
- Standard PEG and PEJ techniques are widely used.
- Newer methods offer advantages like reflux prevention and endoscopic-free insertion.
- Specialized devices and techniques cater to complex cases, including cancer patients.
Conclusions:
- Physicians require updated knowledge on various enteral access methods.
- Advanced techniques improve patient care and feeding protocols.
- The review provides a comprehensive overview of current enteral access options.