Abstract

Recent evidence suggests that enteral nutrition offers significant advantages over parenteral nutrition in critically ill patients. However, gastric emptying is impaired in many critically ill patients [1]. Thus, feeding through a nasogastric tube may endanger many critically ill patients, in that it can lead to large gastric residues and aspiration. Feeding through a nasoduodenal or nasojejunal tube is an alternative, but postpyloric placement of a feeding tube may be difficult, particularly in critically ill patients. Blind placement of a feeding tube into the duodenum or jejunum in ICU patients is frequently not successful.

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