Skip to main content
PMC home page
Gut logoLink to Gut
. 1994 Jan;35(1 Suppl):S77–S80. doi: 10.1136/gut.35.1_suppl.s77

Technical aspects of enteral nutrition.

M Keymling 1
PMCID: PMC1378154  PMID: 8125398

Abstract

Advances in technical aspects of enteral feeding such as the manufacture of tubes from polyurethane or silicone have helped promote the science of enteral nutrition. Nasoenteral tubes have few complications, apart from a high unwanted extubation rate and some reluctance from patients because of cosmetic unacceptability. Needle jejunostomy has low morbidity but can only be placed at laparotomy. Percutaneous gastrotomy (in all its different guises) has been established as a low risk procedure and is the access route of choice for longterm enteral feeding, in particular for cancer, geriatric, and neurological patients.

Full text

PDF
S78

Images in this article

S78Figure 1
on p.S78
S78Figure 2
on p.S78

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allardyce D. B., Groves A. D. A comparison of nutritional gains resulting from intravenous and enteral feeding. Surg Gynecol Obstet. 1974 Aug;139(2):179–184. [PubMed] [Google Scholar]
  2. Chrysomilides S. A., Kaminski M. V., Jr Home enteral and parenteral nutritional support: a comparison. Am J Clin Nutr. 1981 Oct;34(10):2271–2275. doi: 10.1093/ajcn/34.10.2271. [DOI] [PubMed] [Google Scholar]
  3. DeWys W. D. Anorexia as a general effect of cancer. Cancer. 1979 May;43(5 Suppl):2013–2019. doi: 10.1002/1097-0142(197905)43:5+<2013::aid-cncr2820430709>3.0.co;2-z. [DOI] [PubMed] [Google Scholar]
  4. Dölp R., Grünert A., Böhm A. Enterale oder parenterale Ernährungstherapie. Eine vergleichende klinische Studie. Infusionsther Klin Ernahr. 1983 Dec;10(6):286–290. [PubMed] [Google Scholar]
  5. Foutch P. G., Woods C. A., Talbert G. A., Sanowski R. A. A critical analysis of the Sacks-Vine gastrostomy tube: a review of 120 consecutive procedures. Am J Gastroenterol. 1988 Aug;83(8):812–815. [PubMed] [Google Scholar]
  6. Fremstad J. D., Martin S. H. Lethal complication from insertion of nasogastric tube after severe basilar skull fracture. J Trauma. 1978 Dec;18(12):820–822. doi: 10.1097/00005373-197812000-00009. [DOI] [PubMed] [Google Scholar]
  7. Ghahremani G. G., Gould R. J. Nasoenteric feeding tubes. Radiographic detection of complications. Dig Dis Sci. 1986 Jun;31(6):574–585. doi: 10.1007/BF01318688. [DOI] [PubMed] [Google Scholar]
  8. Greif J. M., Ragland J. J., Ochsner M. G., Riding R. Fatal necrotizing fasciitis complicating percutaneous endoscopic gastrostomy. Gastrointest Endosc. 1986 Aug;32(4):292–294. doi: 10.1016/s0016-5107(86)71851-8. [DOI] [PubMed] [Google Scholar]
  9. Hardegg G., Heller T., Frühmorgen P. Sondendislokation nach perkutaner, endoskopisch kontrollierter Gastrostomie--Ein Fallbericht. Z Gastroenterol. 1991 Dec;29(12):655–658. [PubMed] [Google Scholar]
  10. Harvey K. B., Bothe A., Jr, Blackburn G. L. Nutritional assessment and patient outcome during oncological therapy. Cancer. 1979 May;43(5 Suppl):2065–2069. doi: 10.1002/1097-0142(197905)43:5+<2065::aid-cncr2820430714>3.0.co;2-1. [DOI] [PubMed] [Google Scholar]
  11. Heymsfield S. B., Bethel R. A., Ansley J. D., Nixon D. W., Rudman D. Enteral hyperalimentation: an alternative to central venous hyperalimentation. Ann Intern Med. 1979 Jan;90(1):63–71. doi: 10.7326/0003-4819-90-1-63. [DOI] [PubMed] [Google Scholar]
  12. Hogan R. B., DeMarco D. C., Hamilton J. K., Walker C. O., Polter D. E. Percutaneous endoscopic gastrostomy--to push or pull. A prospective randomized trial. Gastrointest Endosc. 1986 Aug;32(4):253–258. doi: 10.1016/s0016-5107(86)71841-5. [DOI] [PubMed] [Google Scholar]
  13. Keymling M., Wagner H. J., Vakil N., Knyrim K. Relief of malignant duodenal obstruction by percutaneous insertion of a metal stent. Gastrointest Endosc. 1993 May-Jun;39(3):439–441. doi: 10.1016/s0016-5107(93)70125-x. [DOI] [PubMed] [Google Scholar]
  14. Larson D. E., Burton D. D., Schroeder K. W., DiMagno E. P. Percutaneous endoscopic gastrostomy. Indications, success, complications, and mortality in 314 consecutive patients. Gastroenterology. 1987 Jul;93(1):48–52. [PubMed] [Google Scholar]
  15. Miller R. E., Castlemain B., Lacqua F. J., Kotler D. P. Percutaneous endoscopic gastrostomy. Results in 316 patients and review of literature. Surg Endosc. 1989;3(4):186–190. doi: 10.1007/BF02171543. [DOI] [PubMed] [Google Scholar]
  16. Orr G., Wade J., Bothe A., Jr, Blackburn G. L. Alternatives to total parenteral nutrition in the critically ill patient. Crit Care Med. 1980 Jan;8(1):29–34. doi: 10.1097/00003246-198001000-00005. [DOI] [PubMed] [Google Scholar]
  17. Ponsky J. L., Gauderer M. W., Stellato T. A., Aszodi A. Percutaneous approaches to enteral alimentation. Am J Surg. 1985 Jan;149(1):102–105. doi: 10.1016/s0002-9610(85)80017-9. [DOI] [PubMed] [Google Scholar]
  18. Rabast U. Lokalisation von Ernährungssonden. Prospektive Studie an 102 Patienten. Dtsch Med Wochenschr. 1985 Jul 5;110(27):1074–1076. doi: 10.1055/s-2008-1068961. [DOI] [PubMed] [Google Scholar]
  19. Russell T. R., Brotman M., Norris F. Percutaneous gastrostomy. A new simplified and cost-effective technique. Am J Surg. 1984 Jul;148(1):132–137. doi: 10.1016/0002-9610(84)90300-3. [DOI] [PubMed] [Google Scholar]
  20. Sacks B. A., Vine H. S., Palestrant A. M., Ellison H. P., Shropshire D., Lowe R. A nonoperative technique for establishment of a gastrostomy in the dog. Invest Radiol. 1983 Sep-Oct;18(5):485–487. doi: 10.1097/00004424-198309000-00015. [DOI] [PubMed] [Google Scholar]
  21. Selley W. G. Swallowing difficulties in stroke patients: a new treatment. Age Ageing. 1985 Nov;14(6):361–365. doi: 10.1093/ageing/14.6.361. [DOI] [PubMed] [Google Scholar]
  22. Vestweber K. H., Troidl H., Sommer H. Perkutane endoskopische Gastrostomie. Eine neue Technik zur enteralen Ernährung. Dtsch Med Wochenschr. 1984 Aug 3;109(31-32):1203–1204. doi: 10.1055/s-2008-1069350. [DOI] [PubMed] [Google Scholar]
  23. Yeung C. K., Smith R. C., Hill G. L. Effect of an elemental diet on body composition. A comparison with intravenous nutrition. Gastroenterology. 1979 Oct;77(4 Pt 1):652–657. [PubMed] [Google Scholar]
  24. Yeung E. Y., Ho C. S. Percutaneous radiologic gastrostomy. Baillieres Clin Gastroenterol. 1992 Jun;6(2):297–317. doi: 10.1016/0950-3528(92)90006-z. [DOI] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES