INTRODUCTION Nasojejunal feeding tube placement can be achieved by fluoroscopic or endoscopic techniques. Significant complications due to nasojejunal feeding tube placement, such as hydrothorax, duodenal perforation and retroperitoneal emphysema, are very rare. We present a case of massive retroperitoneal emphysema and abscess because of duodenal perforation caused by a kink in a nasojejunal f...

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 indire...

A 40-year-old man, with no significant history of past illness, presented to our emergency department with classic features of perforation peritonitis. Exploratory laparotomy showed duodenal perforation, which was closed with an omental patch. Before suturing the perforation, however, a nasojejunal tube was inserted for feeding. The postoperative period was uneventful and the patient was allowe...

To evaluate the effect of a novel procedure using real-time ultrasonography to assist nasojejunal tube placement at bedside in patients with severe acute pancreatitis (SAP).Single center, prospective descriptive study in a 15-bed surgery intensive care unit of a university hospital. Thirty SAP patients were enrolled. The whole procedure of placing nasojejunal tube was performed by a single phys...

OBJECTIVE Current guidelines recommend enteral nutrition in critically ill adults; however, poor gastric motility often prevents nutritional targets being met. We hypothesized that early nasojejunal nutrition would improve the delivery of enteral nutrition. DESIGN Prospective, randomized, controlled trial. SETTING Seventeen multidisciplinary, closed, medical/surgical, intensive care units i...

During a 3 years period (April 1983 to March 1985), 8 patients with duodenal injury (Table) were managed operatively in the South Surgical Unit of Mayo Hospital. Duodenal perforation were repaired in 7 patients while in 1, who had a duodenal wall haematoma was treated expectantly. Nasojejunal feeding tube were introduced at operation in 7 patients in addition to nasogastric tubes for decompress...

Interest in noninvasive feeding tube placement in companion animals led to the adaption of a human technique utilizing endoscopy to place nasojejunal feeding tubes. Data from medical records in which nasojejunal feeding tubes were attempted were reviewed. Feeding tubes were attempted and successfully placed in five dogs within a median of 35 min. Feeding tubes remained in place for approximatel...

For postgastrostomy patients suffering from adhesive small bowel obstruction, transgastric decompression with a multiluminal nasojejunal tube is an effective and more comfortable alternative to conventional nasal tubing using an ileus tube.

Appropriate nutrition is considered a cornerstone of Intensive care; however its successful initiation is frequently impeded by decreased gastric emptying secondary to opiates, sepsis, or ileus. The presence of a postpyloric tube will guarantee delivery of calories while reducing the incidence of reflux and aspiration. Enteral nutrition is approximately 100 fold cheaper than parenteral nutritio...