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©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Mar 21, 2009; 15(11): 1281-1288
Published online Mar 21, 2009. doi: 10.3748/wjg.15.1281
Published online Mar 21, 2009. doi: 10.3748/wjg.15.1281
Post-pyloric feeding
Eva Niv, Zvi Fireman, Department of Gastroenterology, Hillel Yaffe Medical Center, Hadera 38100, Israel
Eva Niv, Nachum Vaisman, The Unit of Clinical Nutrition, Tel Aviv Sourasky Medical Center, Tel Aviv, 6974444, Israel
Author contributions: Niv E, Fireman Z and Vaisman N performed the literature review and wrote the paper.
Correspondence to: Eva Niv, MD, Department of Gastro-enterology, Hillel Yaffe Medical Center, PO Box 169, Hadera 38100, Israel. niv_em@netvision.net.il
Telephone: +972-4-6304480
Fax: +972-4-6304408
Received: December 26, 2008
Revised: February 15, 2009
Accepted: February 22, 2009
Published online: March 21, 2009
Revised: February 15, 2009
Accepted: February 22, 2009
Published online: March 21, 2009
Abstract
Postpyloric feeding is an important and promising alternative to parenteral nutrition. The indications for this kind of feeding are increasing and include a variety of clinical conditions, such as gastroparesis, acute pancreatitis, gastric outlet stenosis, hyperemesis (including gravida), recurrent aspiration, tracheoesophageal fistula and stenosis in gastroenterostomy. This review discusses the differences between pre- and postpyloric feeding, indications and contraindications, advantages and disadvantages, and provides an overview of the techniques of placement of various postpyloric devices.
Keywords: Postpyloric feeding, Nasojejunal feeding, Nasojejunal tube, Jejunostomy, Nasoenteric tube, Percutaneous endoscopic gastrostomy-jejunostomy tube, Percutaneous endoscopic jejunostomy