Access for Enteral Nutrition

  • Julia ZimmerEmail author
  • Michael W. L. Gauderer
Living reference work entry


Enterostomies are key interventions in the management of various surgical and nonsurgical pediatric conditions. They are employed for feeding, decompression, or a combination of both.

A large palette of options is now available, the choice of procedure depending on the specific indication, the experience of the management team and the available resources. If the access is primarily for long-term feeding, the optimal kind must be carefully chosen, taking into account the patients’ specific needs, comorbidities, habitus, and caretakers’ experience. Ideally the choice is a team decision. Regular early and long-term follow-up are essential to assure optimal functionality and minimal morbidity.


Enteral nutrition Enteral access Nasogastric tube Orogastric tube Gastrostomy Gastrojejunal access Jejunal access Enterostomy Percutaneous endoscopic gastrostomy Laparoscopic-assisted techniques Minimally invasive gastrostomy Minimally invasive jejunostomy 


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Copyright information

© Springer-Verlag GmbH Germany 2018

Authors and Affiliations

  1. 1.Department of Paediatric SurgeryHannover Medical SchoolHannoverGermany
  2. 2.University of South Carolina School of Medicine GreenvilleGreenvilleUSA

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