Gastrointestinal endoscopy clinics of North America
-
Gastrointest. Endosc. Clin. N. Am. · Jul 1998
ReviewSurgical and laparoscopic techniques for feeding tube placement.
Surgeons have at their disposal multiple options for providing enteral access in a myriad of circumstances. This article reviews the techniques for surgical placement of enteral access as well as the indications, benefits, and complications for each procedure. The feeding tubes commonly available are described, and considerations involved in the choice of procedure are discussed.
-
Gastrointest. Endosc. Clin. N. Am. · Jul 1998
Ethical issues in instituting and discontinuing enteral feeding.
The shift from inpatient care has not lessened the importance of ethical issues in caring for patients. Dilemmas involving withholding and withdrawing enteral nutrition require input from the patient, family, and caregivers. Decisions to forego or discontinue treatment such as home enteral support should never be distinguished from the responsibility of providing support and compassionate care throughout life, even during dying.
-
Gastrointest. Endosc. Clin. N. Am. · Jul 1998
ReviewEnteral feeding in critical care, gastrointestinal diseases, and cancer.
This article discusses the many advantages and changes that have occurred in the nutritional management of critically-ill patients, patients with gastrointestinal diseases, and patients with selected cancers. Mechanical obstruction is the only absolute contraindication to enteral nutrition. This article reviews the present aggressive approach to the use of enteral nutrition.