Success Rates for Endoscopic Placement of Post-Pyloric Nasoenteric Tube Underperform Expectations.

Gerald Dryden, Cristina Chiodi, Shesh Rai

Journal: Current gastroenterology reports 2025;27(1):32

PMID: 40347410

Abstract

PURPOSE OF REVIEW

Enteral nutrition plays a pivotal role in maintaining nutritional status and supporting recovery in hospitalized patients who are unable to meet their caloric requirements. The benefits of enteral nutrition include preserving gut integrity, reducing infection risks, and supporting immune function, which are vital in critically ill and post-operative patients. Nasoenteric feeding tubes often serve as important tools to deliver enteral nutrition efficiently, yet their optimal placement remains a subject of significant clinical consideration.

RECENT FINDINGS

Nasoenteric feeding tubes can be compromised by placement-related complications such as displacement, malpositioning, and tube-related discomfort. Our review of the relevant literature is complemented by review of our recent data. Our own clinical experience suggests that endoscopic placement of naso-enteric feeding tubes fails during the wire exchange process.

SUMMARY

This report reviews the importance of enteral nutrition for enhancing patient outcomes, documents findings from our retrospective study on endoscopically placed nasoenteric feeding tubes and focuses on the challenges and future advancements in nasoenteric feeding tube placement techniques.

© 2025. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

Address: Department of Medicine, University of Louisville, Louisville, KY, USA.; University of Cincinnati, Cincinnati, OH, USA.; Department of Medicine, University of Louisville, Louisville, KY, USA. [email protected].

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