ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2013
Gastrointestinal tract access for enteral nutrition in critically ill and trauma patients: indications, techniques, and complications.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 18 citations in OpenAlex.
- Fluid-structure dynamics of a vibro-impact capsule robot in multiphase intestinal environments.Nonlinear dynamics · 2026Article
- Assessment of Critical Feeding Tube Malpositions on Radiographs Using Deep Learning.Journal of digital imaging · 2019Article
- Jejunostomy with Enteroenterostomy for Enteral Nutrition in Critically Ill Trauma Patients. A Novel Technique.Cureus · 2018Article
- Abdominal insufflation for laparoscopy increases intracranial and intrathoracic pressure in human subjects.Surgical endoscopy · 2016Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnteral nutrition (EN) is a widely used, standard-of-care technique for nutrition support in critically ill and trauma patients.
objectiveTo review the current techniques of gastrointestinal tract access for EN.
methodsFor this traditional narrative review, we accessed English-language articles and abstracts published from January 1988 through October 2012, using three research engines (MEDLINE, Scopus, and EMBASE) and the following key terms: "enteral nutrition," "critically ill," and "gut access." We excluded outdated abstracts.
resultsFor our nearly 25-year search period, 44 articles matched all three terms. The most common gut access techniques included nasoenteric tube placement (nasogastric, nasoduodenal, or nasojejunal), as well as a percutaneous endoscopic gastrostomy (PEG). Other open or laparoscopic techniques, such as a jejunostomy or a gastrojejunostomy, were also used. Early EN continues to be preferred whenever feasible. In addition, evidence is mounting that EN during the early phase of critical illness or trauma trophic feeding has an outcome comparable to that of full-strength formulas. Most patients tolerate EN through the stomach, so postpyloric tube feeding is not needed initially.
conclusionIn critically ill and trauma patients, early EN through the stomach should be instituted whenever feasible. Other approaches can be used according to patient needs, available expertise, and institutional guidelines. More research is needed in order to ensure the safe use of surgical tubes in the open abdomen.
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