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KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Definitions
- Patient injury caused by improper feeding tube placement
- Feeding tubes
- Small, soft enteric tubes
- Some with flexible metallic tips
- Used for feeding chronically ill patients
- Can be used for long periods of time
- Nasogastric tubes
- Large-bore, moderately stiff
- Used for temporary bowel decompression or fluid sampling
- Tip placed in pylorus can cause gastric outlet obstruction
- Gastrostomy and jejunostomy tubes
- Placed surgically, endoscopically, or percutaneously
- Used for long-term, possibly permanent, feeding
- Use imaging to visualize tube balloon, surgical clips, and cuff
- Cuff initiates soft tissue reaction to anchor tube to abdominal wall
- Percutaneous endoscopic gastrostomy (PEG) button can replace tube several weeks post placement
- Placed in anterior abdominal wall
- Balloon-tipped catheters should not be placed into small bowel
- Likely to obstruct bowel lumen
IMAGING
General Features
Imaging Recommendations
Radiographic Findings
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
- McCutcheon KP et al: Feeding tube insertion and placement confirmation using electromagnetic guidance: a team review. JPEN J Parenter Enteral Nutr. 42(1):247-54, 2018
- Winder JS et al: Multimodal endoscopic management of iatrogenic transverse colon injuries from a percutaneous endoscopic gastrostomy tube. Gastrointest Endosc. 83(6):1290-1, 2016
- Ojo O: Problems with use of a Foley catheter in enteral tube feeding. Br J Nurs. 23(7):360-2, 364, 2014
- Gor P: Placement of nasogastric tubes must be checked thoroughly. Nurs Stand. 27(43):32, 2013
- Khasawneh FA et al: Nasopharyngeal perforation by a new electromagnetically visualised enteral feeding tube. BMJ Case Rep. 2013, 2013
- Marco J et al: Bronchopulmonary complications associated to enteral nutrition devices in patients admitted to internal medicine departments. Rev Clin Esp (Barc). 213(5):223-8, 2013
- Simons SR et al: Bedside assessment of enteral tube placement: aligning practice with evidence. Am J Nurs. 112(2):40-6; quiz 48, 47, 2012
- de Aguilar-Nascimento JE et al: Use of small-bore feeding tubes: successes and failures. Curr Opin Clin Nutr Metab Care. 10(3):291-6, 2007
- Hunter TB et al: Medical devices of the abdomen and pelvis. Radiographics. 25(2):503-23, 2005
- Swain FR et al: Traumatic complications from placement of thoracic catheters and tubes. Emerg Radiol. 12(1-2):11-8, 2005
- Faries MB et al: Use of gastrostomy and combined gastrojejunostomy tubes for enteral feeding. World J Surg. 23(6):603-7, 1999
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Definitions
- Patient injury caused by improper feeding tube placement
- Feeding tubes
- Small, soft enteric tubes
- Some with flexible metallic tips
- Used for feeding chronically ill patients
- Can be used for long periods of time
- Nasogastric tubes
- Large-bore, moderately stiff
- Used for temporary bowel decompression or fluid sampling
- Tip placed in pylorus can cause gastric outlet obstruction
- Gastrostomy and jejunostomy tubes
- Placed surgically, endoscopically, or percutaneously
- Used for long-term, possibly permanent, feeding
- Use imaging to visualize tube balloon, surgical clips, and cuff
- Cuff initiates soft tissue reaction to anchor tube to abdominal wall
- Percutaneous endoscopic gastrostomy (PEG) button can replace tube several weeks post placement
- Placed in anterior abdominal wall
- Balloon-tipped catheters should not be placed into small bowel
- Likely to obstruct bowel lumen
IMAGING
General Features
Imaging Recommendations
Radiographic Findings
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
- McCutcheon KP et al: Feeding tube insertion and placement confirmation using electromagnetic guidance: a team review. JPEN J Parenter Enteral Nutr. 42(1):247-54, 2018
- Winder JS et al: Multimodal endoscopic management of iatrogenic transverse colon injuries from a percutaneous endoscopic gastrostomy tube. Gastrointest Endosc. 83(6):1290-1, 2016
- Ojo O: Problems with use of a Foley catheter in enteral tube feeding. Br J Nurs. 23(7):360-2, 364, 2014
- Gor P: Placement of nasogastric tubes must be checked thoroughly. Nurs Stand. 27(43):32, 2013
- Khasawneh FA et al: Nasopharyngeal perforation by a new electromagnetically visualised enteral feeding tube. BMJ Case Rep. 2013, 2013
- Marco J et al: Bronchopulmonary complications associated to enteral nutrition devices in patients admitted to internal medicine departments. Rev Clin Esp (Barc). 213(5):223-8, 2013
- Simons SR et al: Bedside assessment of enteral tube placement: aligning practice with evidence. Am J Nurs. 112(2):40-6; quiz 48, 47, 2012
- de Aguilar-Nascimento JE et al: Use of small-bore feeding tubes: successes and failures. Curr Opin Clin Nutr Metab Care. 10(3):291-6, 2007
- Hunter TB et al: Medical devices of the abdomen and pelvis. Radiographics. 25(2):503-23, 2005
- Swain FR et al: Traumatic complications from placement of thoracic catheters and tubes. Emerg Radiol. 12(1-2):11-8, 2005
- Faries MB et al: Use of gastrostomy and combined gastrojejunostomy tubes for enteral feeding. World J Surg. 23(6):603-7, 1999
