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Letter to the Editor
©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Nov 28, 2017; 9(11): 413-415
Published online Nov 28, 2017. doi: 10.4329/wjr.v9.i11.413
Naso-jejunal tube insertion - interface between radiology and endoscopy
Naomi Riddel, Mo Hameed Thoufeeq
Naomi Riddel, Peterborough Hospitals NHS Trust, Peterborough PE3 9GZ, United Kingdom
Mo Hameed Thoufeeq, Department of Endoscopy, Sheffield Teaching Hospitals, Sheffield S5 7AU, United Kingdom
Author contributions: Riddel N and Thoufeeq MH were involved in writing the letter.
Conflict-of-interest statement: None.
Correspondence to: Dr. Mo Hameed Thoufeeq, Consultant Gastroenterologist, Department of Endoscopy, Sheffield Teaching Hospitals, Huntsman Building, Herries Road, Sheffield S5 7AU, United Kingdom. mo.thoufeeq@sth.nhs.uk
Telephone: +44-11-43052586
Received: June 6, 2017
Peer-review started: June 12, 2017
First decision: July 11, 2017
Revised: July 17, 2017
Accepted: August 2, 2017
Article in press: August 2, 2017
Published online: November 28, 2017
Processing time: 170 Days and 16.1 Hours
Abstract

A survey was performed to identify the practice associated with endoscopic placement of naso-jejunal (NJ) tubes. We had a total of 236 responses, of which 228 responded to the frequency of requesting X-ray after placing NJ tubes. The responses suggested that there was a strong variation in the practice. The practice was independent on clinicians’ area of interest, hospital setting or experience in endoscopy. Currently there are no accepted guidelines on this. Hence, we advise hospitals to have robust local guidelines until there is internationally agreed consensus.

Keywords: Decision making; X-rays; Naso-jejunal tube; Nutrition; Documentation

Core tip: Endoscopy and interventional radiology complement each other given the advances in both fields. Enteral feeding has been found to be useful in patients with poor oral intake. This may be achieved by placing jejunal tubes either endoscopically or by radiological guidance without the need for surgery. In order to ascertain if clinicians recommend radiological confirmation after placing jejunal tube endoscopically, we did a survey. We had 236 responses; wherein we found that there was strong variation in the practice. Clinical area of interest, years of experience in endoscopy and type of clinical setting made no significant change to the practice.