Nasoenteric Tube Placement in Patients with Esophageal Varices: A Review of the Current Evidence and Society Guidelines

Abstract

Esophageal varices are a common complication of portal hypertension and variceal bleeding can be associated with significant morbidity and mortality. Hospitalized patients with cirrhosis might require nasoenteric tube (NET) placement, commonly for nutritional support and/or medication administration. However, the fear of causing massive variceal bleeding among clinicians might lead to hesitancy or complete avoidance of NET placement in patients who either have a known history of esophageal varices or are at risk to have them. Several experts and society guidelines addressed this concern with variable recommendations and degrees of evidence. In this article, we present an extensive review of the literature and latest society guidelines that address the safety of NET placement in patients with esophageal varices.

Keywords

enteric tube - nasoenteric tube - cirrhosis - esophageal varices - variceal bleeding

Authors' Contributions

O.Q.A. designed and wrote the initial draft of the manuscript. M.A. and J.R. reviewed, edited, and substantially contributed to the initial version of the manuscript. All authors reviewed, edited, and substantially contributed to the final version of the manuscript. All authors agree to be accountable for all aspects of the work.

Publikationsverlauf

Artikel online veröffentlicht:
01. Dezember 2023

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