Pediatric Enteral Access Device Management

Nutr Clin Pract. 2016 Dec;31(6):748-761. doi: 10.1177/0884533616670640. Epub 2016 Oct 14.


Enteral nutrition (EN) support has proven to be a nutrition intervention that can provide full or partial calories to promote growth and development in infants and children. To supply these nutrients, an enteral access device is required, and the use of these devices is growing. Placement of the proper device for the patient need, along with appropriate care and monitoring, is required for individualized patient management. When complications arise, early identification and management can prevent more serious morbidity. Complication management requires a tiered approach starting with staff nurses and ending with a physician expert. In addition to this, each institution needs to have an approach that is coordinated among disciplines and departments to promote consistency of practice. The formation of an enteral access team is a conduit for clinical experts to provide education to families, patients, and healthcare professionals while serving as a platform to address product and practice issues.

Keywords: enteral access devices; enteral nutrition; feeding tubes; gastrostomy tubes; pediatric.

MeSH terms

  • Child
  • Energy Intake*
  • Enteral Nutrition*
  • Gastrostomy*
  • Humans