Double-lumen nasogastric-jejunal tube
History of upper GI bleed and subsequent pyloroplasty.
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Abdominal XR AP reveals double-lumen feeding tube with gastric decompression side ports located in stomach and enteral feeding tip at level of ligament of Treitz. Other findings include embolization device overlying midline, percutaneous drain in RLQ and endoclip overlying the descending colon.
Patients with pathologies requiring proximal GI rest such as acute pancreatitis and proximal bowel surgery may benefit from placement of a double-lumen feeding tubes. The first lumen ends in the stomach with several side ports and provides decompression of the gastric contents. The second lumen extends to the distal duodenum or proximal jejunum to provide enteral nutrition beyond the duodenum/ CBD so rest is given to the pancreas.
Case made with the help of Dr. Jayanth Keshavamurthy, Medical College of Georgia, Augusta.