| Difference between EN (through tri-lumen tube system) and PN for pyloric obstruction |
| |
Tri-Lumen tube system |
Parenteral Nutrition |
| Access Route |
fluoroscope (rarely endoscope) |
usually through PICC, X-ray film confirm |
| Costs |
Equipment cost $120,
Daily Nutrition cost $30/day |
Equipment cost $200,
Daily Nutrition cost $130/day |
| Physiology |
More physiological, maintains GI mucosal integrity, less metabolic disturbance |
Not physiological, nutritional imbalance, liver function impairment |
| Feeding Mode |
Continues in the beginningàintermittentàbolus |
Intermittent |
| Complications |
Less complication but physically discomfort |
More metabolic and infectious complications |
| Nursing Efforts |
More effort dealing with mechanical complications, prevent clogging of the tube |
Less nursing efforts. Higher requirement on preparing the IV formula. |
| Home feeding |
Likely after self-learning |
Very hard |
| Liver toxicity |
Low |
High if long term |