BACKGROUND Stent palliation is the gold standard for gastric/duodenal cancer outlet obstruction. When stenting is impossible, feeding may be achieved through a gastrojejunostomy (PEG-J), but displacement of jejunal tube is frequent due to manipulation for feeding and drainage. Gastric outlet obstruction results on increased gastroesophageal reflux or extra-tube leakage. In order to reduce the j...

BACKGROUND Feeding is a basic component of care and it is the most common and difficult management issue for stroke patients. Objective of this study was to know the practice of feeding (oral & nasogastric tube feeding), different types of food used and their caloric value in stroke patients. MATERIALS & METHODS This direct observational study was done from June 2010 to November 2010, in diff...

Patients who are unable to eat by mouth can be fed in a manner that maintains the structural and functional integrity of the gastrointestinal tract. The appropriate choice of type of feeding tube to use is based on the reasons patients need to be tube fed and the expected duration of need for the tube. Once the tubes are placed, verification of placement is critical for safe use. Patients, fami...

OBJECTIVES To explore whether pre-treatment swallowing measures predict swallowing recovery at 6 weeks after transoral robotic surgery (TORS). DESIGN Prospective cohort study. SETTING Tertiary care cancer centre in the United Kingdom. PARTICIPANTS Fifty-one consecutive patients undergoing TORS for head and neck cancer, between April 2013 and February 2015. MAIN OUTCOME MEASURES Swallowi...

INTRODUCTION Patients with head and neck cancer (HNC) submitted to radiotherapy alone or combined chemoradiotherapy present a high prevalence of malnutrition at baseline. Prophylactic use of gastrostomy has been suggested for these patients for delivering enteral nutrition. On the other hand, other authors have failed to demonstrate the effectiveness of this measure over nasogastric tube feedin...

postsurgical sustenance of very ill patients with a functioning small bowel. Postpyloric feeding through a jejunal tube is in wide practice and usually well tolerated. We report a case of smallbowel perforation related to a feeding jejunostomy tube. A 76-year-old female was evaluated for symptoms of pruritis, painless jaundice, tea-coloured urine and yellow stools. An ampulary carcinoma was fou...

Dr. Sheehan is senior Associate dean, Education Program Administration, and associate professor of Medicine/Geriatrics, Loyola University Chicago Stritch School of MedianL\ Chicago. Dr. Sheehan is also a faculty scholar with the Open Society Institute s Project on Death in America, which has partially sponsored his work. T he use of feeding tubes, especially in long-term care settings, is a tou...

Feeding tubes are valuable assets in the rehabilitation of adult patients with dysphagia. Feeding tubes may be placed in response to perceived risks of airway compromise or insufficient nutrient intake. However, not all patients require long-term enteral feeding. With intensive dysphagia therapy, many patients will experience resolving deficits or improvement in swallowing ability. These patien...

To evaluate the effect of a novel procedure using real-time ultrasonography to assist nasojejunal tube placement at bedside in patients with severe acute pancreatitis (SAP).Single center, prospective descriptive study in a 15-bed surgery intensive care unit of a university hospital. Thirty SAP patients were enrolled. The whole procedure of placing nasojejunal tube was performed by a single phys...

STUDY OBJECTIVES To determine the effect of feeding tube position (gastric vs small bowel) on adequacy of nutrient delivery and feeding complications, including microaspiration, in critically ill children. DESIGN Randomized controlled trial. SETTING Pediatric ICU in a university teaching hospital. PATIENTS Seventy-four critically ill patients < 18 years of age receiving mechanical ventila...