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Semin intervent Radiol 2025; 42(01): 057-065
DOI: 10.1055/s-0044-1801291
Review Article

Enteral Feeding in Pediatric Patients: Principles and Techniques

Anne Sailer
2   Department of Radiology and Biomedical Imaging, Section of Interventional Radiology, Yale School of Medicine, New Haven, Connecticut
,
Christine E. Boone
3   Division of Interventional Radiology, University of California San Diego, San Diego, California
,
Michael R. Acord
1   Division of Pediatric Interventional Radiology, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania
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Abstract

Approximately 40 to 70% of children with chronic medical disease (congenital or acquired respiratory, cardiac, and gastrointestinal disorders) experience feeding difficulties. Enteral feeding in pediatric patients can be administered through orogastric, nasogastric, nasojejunal (NJ), gastrostomy (G) and gastrojejunostomy (GJ) tubes, all of which can be safely placed by the interventional radiologist. This article reviews NJ, G, and GJ tube placement and adjunctive techniques to ensure safe and effective enteral access placement. While feeding can also be performed via a jejunostomy tube, these are less common in children and are typically placed via a surgical approach and will not be discussed in this review. Dose reduction techniques, an important consideration in pediatrics, are also reviewed.

Keywords

pediatric - gastrostomy - gastrojejunostomy - nasojejunal - interventional radiology


Publication History

Article published online:
18 December 2024

© 2024. Thieme. All rights reserved.

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