Nasojejunal tube

Nasojejunal tube is a type of feeding tube that is inserted through the nose, down the esophagus, through the stomach, and into the jejunum (the second part of the small intestine). This tube is used to provide nutrition, hydration, and medication directly to the small intestine, bypassing the stomach. It is typically used in patients who have difficulty swallowing or digesting food.

Indications

The nasojejunal tube is used in a variety of clinical situations. It is often used in patients with gastroparesis, a condition in which the stomach does not empty properly. It may also be used in patients with pancreatitis, malnutrition, or cancer of the upper digestive tract. In addition, it can be used in patients who are at risk of aspiration, such as those with neurological disorders or impaired consciousness.

Procedure

The procedure for inserting a nasojejunal tube is typically performed by a healthcare professional under radiographic guidance. The tube is inserted through the nose and guided down the esophagus and stomach into the jejunum. The position of the tube is confirmed by an X-ray before it is used for feeding or medication administration.

Complications

While the nasojejunal tube is a valuable tool in medical treatment, it is not without potential complications. These can include nasal irritation, esophageal perforation, pneumothorax, and infection. Regular monitoring and care of the tube site can help to minimize these risks.

See also

• Feeding tube
• Gastrostomy
• Jejunostomy
• Enteral nutrition