He was managed conservatively with enteral feeding by a nasojejunal tube
. A percutaneous drain was placed for an intra-abdominal collection detected on CECT at 4 weeks postoperatively, and it was serially upgraded to 32 F.
The insertion of a nasojejunal tube
provides enteral feeding and nutritional support, and its front end is placed far from more than 10 cm of the Treitz ligament to prevent the reflux of the nutrient solution to the duodenum.
A nasojejunal tube
was placed and enteral nutrition was initiated in the patient.
(19) Enteral nutrition may be delivered via a nasogastric tube or a nasojejunal tube
. Previously the nasojejunal tube
was thought to be safer than the nasogastric tube due to its decreased ability to stimulate gastric secretions.
After 6 days in high care, the child developed a paralytic ileus, requiring nasojejunal tube
placement, bowel rest and antibiotics.
All patients were managed conservatively with placement of nasojejunal tube
for feeding, which was later removed once contrast study at three weeks showed no leak and patient started tolerating oral diet.
Following fluoroscopic placement of a nasojejunal tube
, precontrast monitoring scans are performed during the rapid infusion of bi-phasic, enteric contrast agents (typically between 80 cc/min and 120 cc/ min, depending upon patient symptoms).
Nasogastric or nasojejunal tube
feeding might be the best option for short-term nutritional support if the upper GI tract is not working, he suggested.
Three days later, a nasojejunal tube
was placed under fluoroscopic guidance without difficulty.
In these cases, a fine-bore feeding tube placed via the nose beyond the pylorus (or surgical anastomosis) into the proximal jejunum (nasojejunal tube
) as part of the laparotomy may be very useful.
Four trials (n = 135) [47, 51, 54, 55] reported on enema as a manner of FMT, four trials (n = 88) on colonoscopy [45, 46, 52, 57], and two on other manners of nasogastric tube insertion, nasojejunal tube
insertion, gastroscopy, and esophagogastroduodenoscopy [43, 58].