Placement of feeding tubes using fluoroscopy guidance and over-the-wire technique: A technical review

Nutritional support is essential for improving the outcome in critically ill patients. Enteral nutrition possesses advantages over total parenteral nutrition in that it maintains the physiologic barrier function of the gastrointestinal mucosa. Short-term enteral nutrition can be achieved through tra...

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Main Authors: Jinoo Kim, Ji Hoon Shin
Format: Article
Language:English
Published: Society of Gastrointestinal Intervention 2017-07-01
Series:Gastrointestinal Intervention
Subjects:
Online Access:https://doi.org/10.18528/gii160022
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author Jinoo Kim
Ji Hoon Shin
author_facet Jinoo Kim
Ji Hoon Shin
author_sort Jinoo Kim
collection DOAJ
description Nutritional support is essential for improving the outcome in critically ill patients. Enteral nutrition possesses advantages over total parenteral nutrition in that it maintains the physiologic barrier function of the gastrointestinal mucosa. Short-term enteral nutrition can be achieved through transnasal feeding tubes. Traditionally, feeding tubes have been placed at bedside in a blind fashion. However, blind tube placement is unreliable as it may result in improper positioning of the tubes. Numerous complications arising from misplacement have been reported in the literature. A number of modalities may be used in order to improve the accuracy and safety of transnasal feeding tube placement. Fluoroscopy is widely accepted for this purpose. Together with the use of water-soluble contrast media and over-the-wire technique, fluoroscopy-guided placement of nasogastric or nasojejunal feeding tubes offers a higher rate of technical success while decreasing procedure time as well as the incidence of procedure-related complications.
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spelling doaj.art-f0b35d45c9f242e98419cae413d7e7f62022-12-21T23:31:57ZengSociety of Gastrointestinal InterventionGastrointestinal Intervention2213-17952017-07-016213513910.18528/gii160022gii160022Placement of feeding tubes using fluoroscopy guidance and over-the-wire technique: A technical reviewJinoo Kim0Ji Hoon Shin1Department of Radiology, Ajou University Hospital, Ajou University School of Medicine, Suwon, KoreaDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, KoreaNutritional support is essential for improving the outcome in critically ill patients. Enteral nutrition possesses advantages over total parenteral nutrition in that it maintains the physiologic barrier function of the gastrointestinal mucosa. Short-term enteral nutrition can be achieved through transnasal feeding tubes. Traditionally, feeding tubes have been placed at bedside in a blind fashion. However, blind tube placement is unreliable as it may result in improper positioning of the tubes. Numerous complications arising from misplacement have been reported in the literature. A number of modalities may be used in order to improve the accuracy and safety of transnasal feeding tube placement. Fluoroscopy is widely accepted for this purpose. Together with the use of water-soluble contrast media and over-the-wire technique, fluoroscopy-guided placement of nasogastric or nasojejunal feeding tubes offers a higher rate of technical success while decreasing procedure time as well as the incidence of procedure-related complications.https://doi.org/10.18528/gii160022Enteral nutritionFeeding tubesFluoroscopy
spellingShingle Jinoo Kim
Ji Hoon Shin
Placement of feeding tubes using fluoroscopy guidance and over-the-wire technique: A technical review
Gastrointestinal Intervention
Enteral nutrition
Feeding tubes
Fluoroscopy
title Placement of feeding tubes using fluoroscopy guidance and over-the-wire technique: A technical review
title_full Placement of feeding tubes using fluoroscopy guidance and over-the-wire technique: A technical review
title_fullStr Placement of feeding tubes using fluoroscopy guidance and over-the-wire technique: A technical review
title_full_unstemmed Placement of feeding tubes using fluoroscopy guidance and over-the-wire technique: A technical review
title_short Placement of feeding tubes using fluoroscopy guidance and over-the-wire technique: A technical review
title_sort placement of feeding tubes using fluoroscopy guidance and over the wire technique a technical review
topic Enteral nutrition
Feeding tubes
Fluoroscopy
url https://doi.org/10.18528/gii160022
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