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Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...

Ostomy Care

Ostomy Care

Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...

Tracheostomy: Procedure and Tubes

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...

Tracheostomy Care II: Procedure

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...

Pyloric Obstruction

Pyloric Obstruction

Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...

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Related Experiment Video

Updated: Jun 29, 2026

Colonial Wig Pancreaticojejunostomy

Colonial Wig Pancreaticojejunostomy

Published on: March 12, 2019

Button-loop feeding jejunostomy.

Alejandro R Ruiz-Elizalde¹, Jason S Frischer, Robert A Cowles

¹Division of Pediatric Surgery, Morgan Stanley Children's Hospital of New York-Presbyterian, Columbia University Medical Center, 3959 Broadway, CHN-201, New York, NY 10032, USA. arr98@columbia.edu

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract

|October 1, 2008

Summary

This summary is machine-generated.

This study introduces a novel surgical jejunostomy technique for enteral nutrition. The method simplifies jejunostomy creation and uses an easily exchangeable feeding button, potentially reducing complications.

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Robotic Lateral Pancreaticojejunostomy for Chronic Pancreatitis

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Published on: December 14, 2019

Area of Science:

Gastroenterology
Surgical Innovation

Background:

Post-pyloric feeding via surgical jejunostomy is crucial for patients unable to receive oral or gastric nutrition.
Standard jejunostomy techniques carry risks of complications like tube dislodgement, closure, or bowel obstruction.

Purpose of the Study:

To present a novel, simple, and efficient surgical technique for creating a jejunostomy.
To introduce a method that avoids sewn anastomosis and utilizes an easily exchangeable feeding button.

Main Methods:

Development of a new surgical approach for jejunostomy placement.
Integration of an easily exchangeable feeding button into the jejunostomy procedure.

Main Results:

The presented technique offers a simplified method for jejunostomy creation.
The use of an easily exchangeable feeding button may improve patient management and reduce complications.

Conclusions:

This innovative jejunostomy technique provides a potentially safer and more manageable option for enteral nutrition.
Further studies are warranted to evaluate the long-term efficacy and complication rates of this new method.