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Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

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...
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

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...
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Related Experiment Video

Updated: Jun 22, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

Small bowel endoscopic enteral access.

Cecilia Freeman1, Mark H Delegge

  • 1Digestive Disease Center, Medical University of South Carolina, Charleston, SC 29425, USA.

Current Opinion in Gastroenterology
|June 17, 2009
PubMed
Summary

Endoscopic small bowel tube placement, including direct percutaneous endoscopic jejunostomy (DPEJ), offers vital enteral nutrition when gastric feeding fails. Techniques are evolving, with BMI potentially predicting success and reducing aspiration pneumonia.

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Using the Endoscope for Endobronchial Ultrasound in the Esophagus
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Last Updated: Jun 22, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Using the Endoscope for Endobronchial Ultrasound in the Esophagus
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Using the Endoscope for Endobronchial Ultrasound in the Esophagus

Published on: November 21, 2023

Area of Science:

  • Gastroenterology
  • Endoscopic procedures
  • Nutritional support

Background:

  • Small bowel endoscopic enteral access is challenging but crucial for patients unable to tolerate gastric feedings.
  • Enteral nutrition via the small bowel is necessary in specific clinical scenarios.

Purpose of the Study:

  • To review the successes and challenges of endoscopic small bowel tube placement.
  • To discuss various placement techniques and patient populations.

Main Methods:

  • Review of current literature on endoscopic small bowel tube placement.
  • Analysis of techniques such as direct percutaneous endoscopic jejunostomy (DPEJ) and nasojejunal tubes.

Main Results:

  • Direct percutaneous endoscopic jejunostomy (DPEJ) is increasingly used for small bowel enteral access.
  • Body Mass Index (BMI) may predict DPEJ success and complications.
  • DPEJ placement significantly reduced aspiration pneumonia in at-risk patients.
  • Endoscopic nasojejunal tube insertion improved outcomes in severe acute pancreatitis.
  • Endoscopically placed small bowel tubes safely provide nutrition when gastric feeding is contraindicated.

Conclusions:

  • Continued evaluation of endoscopic jejunal tube placement methods is needed.
  • Determining the safest and most effective techniques requires further study across diverse populations.