TPN and Acute Pancreatitis
TPN and Acute Pancreatitis
TPN and Acute Pancreatitis
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Transnasal Endoscopic<br />
Placement of Feeding Tubes<br />
in the ICU<br />
51 ICU patients referred for <strong>TPN</strong><br />
– 29% respiratory failure, 28% head injury, 33%<br />
acute pancreatitis<br />
! Results:<br />
– successful ‘StayPut‘<br />
StayPut’ ’ placement in 46/51<br />
– Perfect concordance between re-endoscopy endoscopy <strong>and</strong><br />
X-ray confirmation of placement<br />
– Unrecognized esophageal <strong>and</strong> gastric pathology<br />
revealed in 60%<br />
– <strong>TPN</strong> avoided in 77%<br />
! O’Keefe et al. JPEN Sept 2003
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