Endoscopic Techniques for Enteral Access in Nutritional Support (DV022)-Endoscopic Techniques for Enteral Access in Nutritional Support

Video Transcription

Video Summary

The video focuses on the importance of endoscopic techniques in providing enteral access for nutritional support. It highlights the benefits of achieving gut access and providing enteral feeding in improving patient outcomes, such as reducing infections, organ failure, hospital stays, and mortality rates in various diseases.<br /><br />The video is presented by Steve McClay and Mark DeLegge. It aims to provide a comprehensive discussion on the basic techniques of endoscopic enteral access device placement, along with individualized modifications for specific patient situations. The video emphasizes the complexity of these techniques and compares them to other endoscopic procedures like ERCP or endoscopic ultrasound.<br /><br />The video discusses the use of endoscopic nasoenteric tubes (ENET) for short-term feeding, describing the choice of endoscope as critical for successful placement. It explains various techniques and landmarks for successful ENET placement, including the over the guide wire technique.<br /><br />The video also covers the placement of percutaneous endoscopic gastrostomy (PEG) tubes for long-term nutrition support. It describes different techniques like pull-type, push-type, and Russell technique for PEG placement. It provides helpful hints for securing PEG tubes to prevent displacement.<br /><br />The video mentions the placement of jejunal tubes through PEG tubes (PEGJ) and discusses the different techniques involved, such as passing a guide wire through the peg and using a pediatric colonoscope.<br /><br />The video also touches on the replacement of PEG tubes and discusses techniques for declogging feeding tubes and managing complications like buried bumper syndrome.<br /><br />Overall, the video aims to equip endoscopists with the necessary skills to provide optimal enteral access and nutritional support to patients.

Keywords

endoscopic techniques

enteral access

nutritional support

patient outcomes

endoscopic enteral access device placement

percutaneous endoscopic gastrostomy