Enteral Nutrition Support in Patients with Pyloric Obstruction
- *Corresponding Author:
- Jianchun Yu
Professor, Department of General Surgery
Peking Union Medical College Hospital
Beijing, 100005, China
Received date: August 08, 2013; Accepted date: September 11, 2013; Published date: September 13, 2013
Citation: Yang Y, Yu J, Kang W, Li Y (2013) Enteral Nutrition Support in Patients with Pyloric Obstruction. J Gastroint Dig Syst 3:136. doi:10.4172/2161-069X.1000136
Copyright: © 2013 Yang Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Pyloric obstruction is a common clinical diagnosis in Asian countries because there is a higher incidence of gastric cancer in the population. Patients, especially in rural areas, present to hospital late when gastric outlet obstruction has become so severe that oral feeding is almost impossible. Each hospital has developed its own method of feeding to provide nutritional support for these patients before pyloric obstruction is relieved, usually by surgery. Until recently, most hospitals use parenteral nutrition (PN), which requires less effort in setting access route. However both ESPEN and the Chinese guideline would recommend post pyloric enteral nutrition (EN) for patients with a partially functional GI tract, as EN has been demonstrated to be safer, cheaper and associated with less metabolic complications. Setting a safe and convenient route for post-pyloric feeding requires a more dedicated team and solid protocol. Here we report the EN support for 3 patients with pyloric obstruction in June 2013, utilizing the combination nasogastric decompression-nasojejunal feeding tube system. An additional paragraph is given to nutrition evaluation, nursing care of the feeding system, and trouble shooting.