Gastrostomy Tubes in Trauma Patients

Yuan-Mao Lin; Johanna L. Chan; Ravi Murthy; Steven Y. Huang

doi:10.1055/s-0045-1807246

Digestive Disease Interventions, Table of Contents

Digestive Disease Interventions
DOI: 10.1055/s-0045-1807246

Review Article

Gastrostomy Tubes in Trauma Patients

Yuan-Mao Lin

¹Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

,

Johanna L. Chan

²Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida

,

Ravi Murthy

¹Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

,

Steven Y. Huang

¹Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

› Author Affiliations

Abstract

Gastrostomy tubes provide essential long-term enteral nutritional support for trauma patients unable to tolerate oral intake or if prohibited due to associated injuries. This review aims to explore the indications and special considerations unique to gastrostomy tube placement and management for patients following trauma. The specific special considerations addressed in this article are timing of gastrostomy tube placement, timing of gastric tube feeding, technique, indications for postpyloric feeding tubes, concomitant corticosteroid use, safety in patients with an open abdomen, overcoming an inability to pass a nasogastric tube, and considerations for postgastrostomy tube management.

Keywords

gastrostomy - trauma - nutrition

Full Text

References

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