ASGE Endo Hangout: Primer on Enteral Feeding | March 2022 OLWEBMAR0322-Percutaneous Enteral Nutrition Support

Percutaneous Enteral Nutrition Support

Pdf Summary

This document provides an overview of percutaneous enteral nutritional support, specifically focusing on the indications, preparation, techniques, types of tubes, tube care, and complications associated with this procedure. <br /><br />The document begins by highlighting the objectives of the presentation, which include reviewing the indications and preparation for enteral tube placement, discussing various techniques for tube placement, reviewing the appearance and role of various types of tubes, discussing enteral tube care and complications. <br /><br />The indications for percutaneous enteral nutritional support are then listed, including symptoms such as dysphagia, odynophagia, weight loss, and aspiration, as well as diseases like malignancy, stroke, gastroparesis, and ALS. <br /><br />The preparation for enteral tube placement is discussed next, which includes ordering specific laboratory tests, conducting cross-sectional abdominal imaging, ensuring the patient is NPO (nothing by mouth), and providing antibiotic prophylaxis. <br /><br />Various techniques for tube placement are then described, including endoscopic, radiologic, surgical, pull (Gauderer-Ponksy), push (Sacks-Vine), and introducer techniques. <br /><br />The document also provides an overview of different types of tubes, such as standard vs. low profile, legacy vs. ENFIT, balloon vs. non-balloon, and their respective sizes. It also covers the methods of securing the tube, including sutures, anchors, and bumpers. <br /><br />Tube care, including starting feeds, bolus vs. pump feeding, dressing, bathing, activity, and tube exchange, is then discussed, along with the use of syringes and adapters. <br /><br />The presentation concludes with a section on complications associated with enteral tube placement, including perforation, refeeding, infection, leakage, clogging, hypergranulation, nausea, diarrhea, balloon failure, dislodgement, tract disruption, misplacement, and pain. <br /><br />The document ends with a section for questions and discussion.

Keywords

percutaneous enteral nutritional support

indications

preparation

techniques

types of tubes

tube care

complications

dysphagia

odynophagia

weight loss