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Endoscopic Enteral Access.

Nabil Tariq1, Aman Ali2, Chen Chen2

  • 1General Surgery Residency, Weill Cornell Medical College, Department of Surgery, Houston Methodist Hospital, 6550 Fannin Street, Smith Tower 1661, Houston, TX 77030, USA.

The Surgical Clinics of North America
|October 31, 2020
PubMed
Summary
This summary is machine-generated.

Choosing the right enteral access method, such as nasoenteric tubes or gastrostomy, is crucial and patient-specific. This review covers techniques, indications, and managing complications for optimal enteral nutrition delivery.

Keywords:
Endoscopic feeding accessNasoenteric feeding cathetersPercutaneous endoscopic gastrostomyPercutaneous endoscopic jejunostomy

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Area of Science:

  • Gastroenterology
  • Surgical Procedures
  • Nutritional Support

Background:

  • Enteral access is vital for nutritional support when oral intake is insufficient.
  • Multiple techniques exist, but a one-size-fits-all approach is not applicable.
  • Patient-specific needs dictate the optimal method for enteral access.

Purpose of the Study:

  • To comprehensively review various enteral access techniques.
  • To discuss indications, contraindications, and potential pitfalls of each method.
  • To address enteral access in patients with altered anatomy and associated complications.

Main Methods:

  • Review of established enteral access techniques including nasoenteric tubes, gastrostomy, gastrojejunostomy, and direct jejunostomy.
  • Discussion of endoscopic approaches for enteral access.
  • Analysis of complication prevention and management strategies.

Main Results:

  • No single enteral access technique is universally superior; patient tailoring is essential.
  • Detailed descriptions of indications, contraindications, and common pitfalls for each method are provided.
  • Strategies for managing complications in enteral access, including in altered anatomy, are outlined.

Conclusions:

  • Optimal enteral access requires careful consideration of patient factors and technique-specific profiles.
  • Understanding the nuances of each method aids in preventing and managing potential complications.
  • Personalized enteral access strategies ensure effective nutritional support.