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Enteral Feeding in Pediatric Patients: Principles and Techniques

Anne Sailer1, Christine E Boone2, Michael R Acord3

  • 1Department of Radiology and Biomedical Imaging, Section of Interventional Radiology, Yale School of Medicine, New Haven, Connecticut.

Seminars in Interventional Radiology
|May 9, 2025
PubMed

Insights

Interventional radiologists can safely place various enteral feeding tubes, including nasojejunal (NJ), gastrostomy (G), and gastrojejunostomy (GJ) tubes, to manage feeding difficulties in children with chronic medical conditions.

Area of Science:

  • Pediatric Gastroenterology
  • Interventional Radiology
  • Medical Devices

Background:

  • Feeding difficulties affect 40-70% of children with chronic medical diseases.
  • Enteral feeding is crucial for managing nutrition in these pediatric patients.
  • Various feeding tube types exist, each with specific indications.

Purpose of the Study:

  • To review the interventional radiologist's role in placing nasojejunal (NJ), gastrostomy (G), and gastrojejunostomy (GJ) tubes.
  • To discuss techniques ensuring safe and effective enteral access.
  • To highlight dose reduction strategies relevant to pediatric procedures.

Main Methods:

  • Review of nasojejunal (NJ), gastrostomy (G), and gastrojejunostomy (GJ) tube placement procedures.
  • Discussion of adjunctive techniques for optimizing enteral access.
  • Examination of dose reduction methods in pediatric interventional radiology.

Main Results:

  • Interventional radiology offers safe and effective placement of NJ, G, and GJ tubes.
  • Specific techniques and adjunctive measures enhance the success of enteral access.
  • Dose reduction strategies are essential for minimizing radiation exposure in pediatric patients.

Conclusions:

  • Interventional radiologists are key in providing safe and effective enteral access for pediatric patients.
  • The review covers essential techniques for NJ, G, and GJ tube placement.
  • Emphasis on pediatric dose reduction is critical for patient safety.

Keywords:
gastrojejunostomygastrostomyinterventional radiologynasojejunalpediatric

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