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Endoscopically placed nasoenteral feeding tubes. Indications and techniques
S P Stark1, J N Sharpe, G M Larson
1Department of Surgery, University of Louisville School of Medicine, Kentucky.
The American Surgeon
|April 1, 1991
Summary
Endoscopic placement of nasoenteral feeding tubes is effective for enteral nutrition. Techniques like guidewire and pull-along methods show high success rates in hospitalized patients.
Area of Science:
- Gastroenterology
- Endoscopy
- Surgical Procedures
Background:
- Nasoenteral feeding tubes are crucial for nutritional support in hospitalized patients.
- Various conditions necessitate enteral nutrition, including gastric stasis, gastroparesis, and obstructions.
Purpose of the Study:
- To review the indications, techniques, and outcomes of endoscopic nasoenteral feeding tube placement.
- To evaluate the success rates of different endoscopic methods and the role of fluoroscopy.
Main Methods:
- Analysis of medical records for 29 patients undergoing 41 nasoenteral tube placements.
- Comparison of the guidewire method (with and without fluoroscopy) and the pull-along method.
Main Results:
- Overall success rate of 85% (35 of 41 placements).
- Guidewire method success: 82% (27/27); with fluoroscopy: 94% (17/18); without: 56% (5/9).
- Pull-along method success: 93% (13/14).
Conclusions:
- Endoscopic nasoenteral tube placement is an effective method for establishing enteral nutrition.
- Fluoroscopy enhances success rates for the guidewire technique.
- Common failure reasons include gastrojejunostomy intubation difficulties and guidewire displacement.