Acute Complications Associated with Bedside Placement of Feeding Tubes
- 1 February 2006
- journal article
- review article
- Published by Wiley in Nutrition in Clinical Practice
- Vol. 21 (1), 40-55
- https://doi.org/10.1177/011542650602100140
Abstract
Several types of feeding tubes can be placed at a patient's bedside; examples include nasogastric, nasointestinal, gastrostomy, and jejunostomy tubes. Nasoenteral tubes can be placed blindly at bedside or with the assistance of placement devices. Nasoenteric tubes can also be placed via fluoroscopy and endoscopy. Gastrostomy and jejunostomy tubes can be placed using endoscopic techniques. This paper will describe the indications and contraindications for different types of tubes that can be placed at the bedside and complications associated with tube placement. Complications associated with nasoenteral tubes include inadvertent malpositioning of the tube, epistaxis, sinusitis, inadvertent tube removal, tube clogging, tube‐feeding‐associated diarrhea, and aspiration pneumonia. Complications from percutaneous gastrostomy and jejunostomy tube placements include procedure‐related mishaps, site infection, leakage, buried bumper syndrome, tube malfunction, and inadvertent removal. These complications will be reviewed, along with a discussion of incidence, cause, treatment, and prevention approaches.Keywords
This publication has 108 references indexed in Scilit:
- Intrahepatic placement of a PEG tubeGastrointestinal Endoscopy, 2003
- Comparison of direct percutaneous endoscopic jejunostomy and PEG with jejunal extensionGastrointestinal Endoscopy, 2002
- Endoscopic nasogastric-jejunal feeding tube placement in critically ill patientsGastrointestinal Endoscopy, 1997
- Percutaneous endoscopic gastrostomy/jejunostomy (PEG/PEJ) tube placement: a novel approachGastrointestinal Endoscopy, 1997
- An improved approach to delivery of enteral nutrition in the intensive care unitGastrointestinal Endoscopy, 1995
- Endoscopic clip assisted placement of enteral feeding tubesGastrointestinal Endoscopy, 1995
- Retrieval of five razor blades from the stomach using a new endoscopic techniqueGastrointestinal Endoscopy, 1995
- Endoscopic clip-assisted placement of enteral feeding tubesGastrointestinal Endoscopy, 1994
- A single procedure endoscopic technique for replacing partially extruded percutaneous endoscopic gastrostomy tubesGastrointestinal Endoscopy, 1990
- Poor results with percutaneous endoscopic jejunostomyGastrointestinal Endoscopy, 1990