A Pediatric Radiology textbook and Pediatric Radiology digital library
Nasojejunal feeding tube placement
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