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Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

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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...
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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

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Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
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Ostomy Care01:24

Ostomy Care

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Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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Enteral Nutrition I: Orogastric and Nasogartic Feeding01:26

Enteral Nutrition I: Orogastric and Nasogartic Feeding

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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.
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Endoscopic Procedures V: ERCP01:26

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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...
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Related Experiment Video

Updated: May 12, 2025

Colonial Wig Pancreaticojejunostomy
07:49

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Published on: March 12, 2019

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Percutaneous Jejunostomy.

Adam P Jacobs1, Nancy Ann B Little1, Junaid Raja1

  • 1Division of Vascular and Interventional Radiology, University of Alabama at Birmingham, Birmingham, Alabama.

Seminars in Interventional Radiology
|May 9, 2025
PubMed
Summary
This summary is machine-generated.

Direct percutaneous jejunostomy offers supplemental enteral nutrition when other methods fail. This two-stage procedure demonstrates technical success and complication rates comparable to surgical jejunostomy.

Keywords:
enteral feedingfeeding tubeinterventional radiologypercutaneous jejunostomy

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Area of Science:

  • Gastroenterology
  • Interventional Radiology
  • Surgical Procedures

Background:

  • Direct percutaneous jejunostomy is an underutilized technique for enteral nutrition.
  • It is indicated when percutaneous gastrostomy is not feasible or post-pyloric feeding is required.
  • Few case series detail the procedural technique and outcomes.

Purpose of the Study:

  • To describe a two-stage percutaneous jejunostomy placement technique.
  • To report on the procedural outcomes and complication rates.

Main Methods:

  • A two-stage procedure involving initial jejunostomy under fluoroscopic and ultrasound guidance with a nasojejunal tube for distension.
  • Deployment of a suture anchor, guidewire placement, serial dilation, and 14-Fr pigtail catheter insertion.
  • A second stage 4-6 weeks later for conversion to a formal jejunostomy catheter under fluoroscopic guidance.

Main Results:

  • Technical success and complication rates are comparable to surgical jejunostomy.
  • Major complications occurred in 12% of patients, and minor complications in 9.8% in prior studies.
  • The described two-stage approach facilitates jejunostomy placement.

Conclusions:

  • Percutaneous jejunostomy is a viable option for supplemental enteral nutrition.
  • The two-stage technique offers comparable outcomes to surgical jejunostomy.
  • Further studies can refine this underutilized procedure.