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Endoscopically assisted nasojejunal feeding tube placement
D A Rives1, J L LeRoy, M L Hawkins
1Department of Surgery, Medical College of Georgia, Augusta 30912.
The American Surgeon
|February 1, 1989
Summary
Endoscopic assistance offers a reliable method for placing small bore feeding tubes in the proximal jejunum. This technique successfully guided tubes past the pylorus in 90% of attempts, overcoming a key placement challenge.
Area of Science:
- Medical devices
- Gastroenterology
- Endoscopy
Background:
- Enteral nutrition delivery requires small bore feeding tubes.
- Optimal tube tip placement is in the proximal jejunum.
- Ensuring passage through the pylorus is a significant challenge for tube placement.
Purpose of the Study:
- To describe a simple and quick method for feeding tube placement.
- To utilize endoscopic assistance for improved tube delivery.
- To overcome the obstacle of pyloric passage during jejunal tube insertion.
Main Methods:
- A novel technique for feeding tube placement was developed.
- Endoscopic assistance was employed to guide the tube.
- The method focused on facilitating passage through the pylorus.
Main Results:
- The described method achieved a 90% success rate.
- 18 out of 20 attempts resulted in successful tube placement.
- The technique proved effective in navigating the pylorus.
Conclusions:
- Endoscopic assistance provides a reliable solution for jejunal feeding tube placement.
- This method simplifies and enhances the success of trans-pyloric tube insertion.
- The technique addresses a critical limitation in enteral nutrition delivery.