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Post-pyloric feeding

Author(s): Eva Niv, Zvi Fireman, Nachum Vaisman

Journal: World Journal of Gastroenterology
ISSN 1007-9327

Volume: 15;
Issue: 11;
Start page: 1281;
Date: 2009;
Original page

Keywords: Postpyloric feeding | Nasojejunal feeding | Nasojejunal tube | Jejunostomy | Nasoenteric tube | Percutaneous endoscopic gastrostomy-jejunostomy tube | Percutaneous endoscopic jejunostomy

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.
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