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Gastroenteric tube feeding: Techniques, problems and solutions
Irina Blumenstein, Yogesh M Shastri, Jürgen Stein
Irina Blumenstein, Department of Gastroenterology and Clinical Nutrition, Johann Wolfgang Goethe University Clinic, 60590 Frankfurt, Germany
Yogesh M Shastri, Jürgen Stein, Gastroenterology and Clinical Nutrition, Hospital Sachsenhausen, 60594 Frankfurt, Germany
Jürgen Stein, Crohn Colitis Clinical Research Center Rhein-Main, 60594 Frankfurt, Germany
Author contributions: All authors made substantial contributions to conception and design of the article and to acquisition, analysis and interpretation of data; Stein J drafted the manuscript; All authors reviewed the manuscript for important intellectual content and approved the final version for publication.
Correspondence to: Jürgen Stein, MD, PhD, Crohn Colitis Clinical Research Center Rhein-Main, Schifferstr. 59, 60594 Frankfurt, Germany. firstname.lastname@example.org
Telephone: +49-69-905597810 Fax: +49-69-905597829
Received: November 10, 2013 Revised: February 23, 2014 Accepted: April 15, 2014 Published online: July 14, 2014
Core tip: Keeping up with new developments in the fast-moving field of enteral nutrition is a challenge for any gastroenterologist. While enteral tube feeding plays a major role in the care of critically ill patients and those with poor voluntary intake, chronic neurological or mechanical dysphagia or gut dysfunction, mechanical, gastrointestinal, infectious and metabolic complications can lead to serious conditions or death. We have undertaken a comprehensive review of current literature assessing the safety and effectiveness of various endoscopic, sonographic, radiologic, electromagnetic and fluoroscopic application techniques. In addition, we address prophylactic measures to prevent complications, problem solutions and special aspects.