A simple method of placing a nasojejunal tube in a patient with a nasobiliary catheter.

The early initiation of enteral nutrition is considered to be standard care in patients with severe acute pancreatitis. Enteral nutrition was always delivered through a nasojejunal tube that had been placed en− doscopically or radiographically [1]. How− ever, variable success rates have been re− ported for different techniques for placing nasojejunal tubes [2± 4]. Without any di− rect or indirect visualization, it is difficult to know when the nasojejunal tube has traversed the pylorus. We here describe a simple way of placing a nasojejunal tube in a patient with acute biliary pancreati− tis, who had undergone an endoscopic retrograde cholangiopancreatography and a nasobiliary drainage procedure 1 week previously.