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Enteral Access for Nutritional Support.

Elizabeth D Krebs1, Stephen P Gondek1, Bradley M Dennis1

  • 1Division of Acute Care Surgery, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 404, Nashville, TN 37212, USA.

The Surgical Clinics of North America
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PubMed
Summary
This summary is machine-generated.

This review covers methods for enteral access, including nasoenteric tubes and gastrostomy/jejunostomy procedures. It details techniques, indications, and managing complications for short- and long-term enteral feeding.

Keywords:
Enteral accessGastrostomyJejunostomyPEG

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Area of Science:

  • Gastroenterology
  • Surgical Procedures
  • Medical Devices

Background:

  • Enteral feeding is crucial for patients needing nutritional support.
  • Various methods exist for establishing enteral access.
  • Choosing the appropriate method depends on patient factors and feeding duration.

Purpose of the Study:

  • To review current methods for enteral access.
  • To discuss indications, contraindications, and techniques for placement.
  • To cover complication management and procedural pearls/pitfalls.

Main Methods:

  • Review of nasoenteric access.
  • Review of percutaneous endoscopic gastrostomy (PEG).
  • Review of open and laparoscopic gastrostomy and jejunostomy.
  • Review of gastrojejunostomy.

Main Results:

  • Detailed descriptions of various enteral access techniques.
  • Identification of specific indications and contraindications for each method.
  • Discussion on the diagnosis and management of potential complications.
  • Highlighting practical tips and potential challenges for each procedure.

Conclusions:

  • Multiple safe and effective methods for enteral access are available.
  • Proper technique selection and complication management are key for successful enteral feeding.
  • This review provides a comprehensive guide for clinicians.