Group I: choosing the appropriate method of placement of an enteral feeding tube in the high-risk population.
The traditional nasogastric/nasoenteric feeding tube is the preferred access device for short-term feeding (< 30 days), with delivery into the stomach suggested unless aspiration or motility abnormalities are present. Preference for a long-term access device is operator- and facility-dependent. Endoscopic or fluoroscopic placement is preferred as first choices over laparoscopic placement because of considerations of cost, need for general anesthesia, and need for operating room time. Gastrostomy is preferred over intestinal placement for long-term access unless problems with aspiration or motility abnormalities exist.
Lipman
T O
TO
Department of Veterans Affairs Medical Center, Washington, DC 20420, USA.
Cass
O W
OW
Ho
C S
CS
Kearns
P J
PJ
Shikora
S A
SA
D016638:Critical Illness; D004750:Enteral Nutrition / Q000295:instrumentation*; D005774:Gastrostomy / Q000009:adverse effects; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000379:methods*; D007582:Jejunostomy / Q000009:adverse effects; D018579:Patient Selection