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[Application and fixation systems in enteral nutrition]
1St. Elisabeth-Krankenhaus, Innere Abteilung, Hattingen, BRD.
Infusionstherapie (Basel, Switzerland)
|August 1, 1991
Summary
Enteral nutrition delivery is improving with various tube placement techniques for short-term and long-term use. This review covers methods from nasogastric tubes to percutaneous endoscopic gastrostomy.
Area of Science:
- Gastroenterology
- Medical Devices
- Surgical Techniques
Context:
- Enteral nutrition (EN) is crucial for patients unable to consume adequate nutrients orally.
- Advancements in delivery systems enhance convenience and patient tolerance for EN.
- Various methods exist for tube placement, catering to different clinical needs and durations of therapy.
Purpose:
- To provide a comprehensive overview of current techniques for enteral feeding tube placement.
- To compare the suitability of different methods for short-term versus long-term nutritional support.
- To highlight the evolution and current status of enteral access procedures.
Summary:
- Nasogastric, nasoduodenal, and nasojejunal tubes offer convenient options for short-to-medium term EN, with bedside and endoscopic placement methods available.
- Percutaneous endoscopic gastrostomy (PEG), particularly the 'thread-pass-through' technique, is increasingly utilized for long-term EN.
- Specialized devices, such as stabilization systems and intranasal olives, improve tube security and cosmesis.
- Direct puncture techniques for simpler access have not yet proven successful.
Impact:
- Improved patient outcomes through optimized nutritional support.
- Enhanced clinical decision-making regarding the most appropriate EN method.
- Potential for reduced complications and improved patient comfort during nutritional therapy.