Enteral access in adults

Clin Nutr. 2015 Jun;34(3):350-8. doi: 10.1016/j.clnu.2014.10.009. Epub 2014 Nov 13.


Enteral feeding is widely used for hospitalized patients but is also used for ambulatory persons living at home or in home care settings. Aside from decisions that must be made about appropriate nutrient delivery, choices related to which type of enteral access will be used and the procedures for enteral access surveillance are extremely important. In this paper we review the various techniques for establishment of enteral access in adult patients. Prevention and treatment of potential complications are detailed. The use of protocols that are written by a multidisciplinary nutrition team is mandatory. It is also of vital importance to discuss treatment plans with the patient and care givers, to assure appropriate follow-up, and to consider ethical issues related to enteral feeding.

Keywords: Endoscopy; Enteral feeding; Gastrostomy; Jejunostomy; Tube feeding.

Publication types

  • Review

MeSH terms

  • Adult
  • Enteral Nutrition / adverse effects
  • Enteral Nutrition / instrumentation*
  • Enteral Nutrition / methods*
  • Gastrointestinal Diseases / etiology
  • Gastrointestinal Diseases / prevention & control
  • Home Care Services
  • Humans
  • Randomized Controlled Trials as Topic