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Ins and Outs of Enteral Access: Part 2—Long Term Access—Esophagostomy and Gastrostomy
Author(s) -
Vanek Vincent W.
Publication year - 2003
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/011542650301800150
Subject(s) - medicine , jejunostomy , gastrostomy , enteral administration , gastrostomy tube , surgery , parenteral nutrition , intensive care medicine , general surgery
Access techniques for long‐term enteral nutrition (over 4 to 6 weeks) includes cervical esophagostomy and pharyngostomy, gastrostomy, and jejunostomy. Cervical esophagostomy and pharyngostomy are rarely used since the advent of better long‐term enteral access techniques that are easier to care for and have fewer complications; they are briefly reviewed only for historical completeness and to condemn their use. The different techniques of gastrostomy tube insertion and their indications, contraindications, advantages, and disadvantages are discussed. Part III (to be published in a later issue) of this series will review feeding jejunostomy.