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Enteral Access

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Handbook of Clinical Nutrition and Stroke

Part of the book series: Nutrition and Health ((NH))

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Key Points

Recognize the importance of enteral access for early nutrition in the appropriate stroke patient. Identify the clinical factors that are essential in deciding on how to feed a stroke patient. Discuss the short-term and long-term options for enteral access and understand the complications associated with eachof them.

Introduction

This chapter will discuss the importance of early enteral feeding in the appropriate stroke patient and the factors that play a role in deciding how to feed a stroke patient. In addition, the chapter will discuss the options for enteral access which include the following: blind placement of nasoenteric and oroenteric feeding tubes, facilitated placement of nasoenteric feeding tubes, percutaneous gastrostomy and jejunostomy tubes, and surgical gastrostomy and jejunostomy tubes.

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Abbreviations

ASPEN:

American Society for Parenteral and Enteral Nutrition

NDT:

Nasoduodenal Tube

NGT:

Nasogastric Tube

NIHSS:

National Institute of Health Stroke Scale

NJT:

Nasojejunal Tube

OGT:

Oral Gastric Tube

PEG:

Percutaneous Gastrostomy

PEG-J:

Percutaneous Placed Gastrojejunostomy Tube

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Author information

Authors and Affiliations

  1. Center for Human Nutrition, Department of Gastroenterology, Cleveland Clinic, 9500 Euclid Avenue/A51, Cleveland, OH, 44195, USA

    Donald F. Kirby M.D., F.A.C.P., F.A.C.N., F.A.C.G., A.G.A.F., C.N.S.C., C.P.N.S.

  2. Albany Gastroenterology Consultants, 1375 Washington Ave Suite 101, Albany, NY, 12206, USA

    Keely R. Parisian M.D.

Authors
  1. Donald F. Kirby M.D., F.A.C.P., F.A.C.N., F.A.C.G., A.G.A.F., C.N.S.C., C.P.N.S.
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  2. Keely R. Parisian M.D.
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Editor information

Editors and Affiliations

  1. , Nutrition Support Team, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, 44195, Ohio, USA

    Mandy L. Corrigan

  2. , Nutrition Therapy, Cleveland Clinic, 9500 Euclid Ave. M17, Cleveland, 44195, Ohio, USA

    Arlene A. Escuro

  3. Center for Human Nutrition, Department of Gastroenterology, Cleveland Clinic, 9500 Euclid Ave. A51, Cleveland, 44195, Ohio, USA

    Donald F. Kirby

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Kirby, D.F., Parisian, K.R. (2013). Enteral Access. In: Corrigan, M., Escuro, A., Kirby, D. (eds) Handbook of Clinical Nutrition and Stroke. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-380-0_14

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  • DOI: https://doi.org/10.1007/978-1-62703-380-0_14

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-62703-379-4

  • Online ISBN: 978-1-62703-380-0

  • eBook Packages: MedicineMedicine (R0)

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