- Patient preparation: anesthetize the nostril with viscous lidocaine
- Contrast used: high osmolar water soluble
- Technique:
— Use 6 French or 8 French or 10 French feeding tube depending on patient age
— Flush tube with water, place tube in warm water for a few minutes
— In supine position, place tube through nose to stomach
— In right posterior oblique position advance tube to antrum
— In left posterior oblique position advance tube through pylorus to duodenal bulb
— In supine position advance tube through the C-loop
— In right posterior oblique position advance tube past the Ligament of Treitz - Images to obtain: at end of exam AP image of the abdomen after injecting 10 cc of contrast to document tube tip position in the jejunum
- Looking for: tip of nasojejunal tube tip at or beyond the duodenal-jejunal junction
- Post procedure tasks: flush tube with sterile saline, have the clinical service secure the tube in place with a transparent dressing or a bridle
Pediatric Imaging 