Abstract

Expertise in enteral nutrition is an important aspect of the skill set of clinical gastroenterologists. Feeding tubes can be placed by bedside, endoscopic, fluoroscopic, and surgical methods. Nasojejunal tube placement in patients with variations in anatomy or with a history of abdominal surgery was previously a difficult problem. Today, however, as a result of developments in enteroscopy, gastroenterologists can obtain a better understanding of the small intestine. This paper reports a new technique in nasojejunal tube insertion. The feeding tube was placed in the intestine using a guide wire which accessed the jejunum with the help of single-balloon enteroscopy. Using this new skill, the placement of an enteral tube is more comfortable and safer for patients.