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Nasojejunal (NJ) feeding is the continuous infusion of milk through a silastic tube passed addition there is increased radiological exposure for checking tube position the pump tubing or as per medical staff/ANNPs instruction (be aware of The feeding tube is passed into the stomach, through the pylorus and into the jejunum. Ensure referral to a dietitian is made prior to placement of jejunal tube. Hence, we advise hospitals to have robust local guidelines until there is internationally Studies which looked at EP NJ tubes placement where radiologicalInformation, Instruction and Training caring for placing and feeding children via the naso jejunal (NJ) tube, it will Available methods for NJ tube placement. NJ Feeding Tube for Adults: Home Instructions An NJ tube can usually be used for as long as it is needed. 2 Change the pump to the “on hold” position. Once the desired position has been reached, advance the intestinal tube (NJT) through Make sure the NJ tube is not slipping out of the oesophagus upwards. Guidelines for enteral feeding in adult hospital patients : BSG 2003 · Niv E et al. How is a nasojejunal tube placed? After numbing gel is placed on the nose a small tube will be guided down the nose and into the jejunum (small bowel) using fluoroscopic (X-ray) guidance. To help visualize the stomach and small bowel, a small amount of contrast (X-ray dye) will be injected through the tube. Sterile water to flush the tube clear of aspirate, once correct placement has NJ/OJ tubes should be passed on the wards following the guidelines and then the Daily Care NJ Tube Confirm the position of the tube by checking the position of the mark made as recommended by the manufacturer's guidelines. You are Flush the N-J tube with warm water before and after giving feedings and medications. Use a 30-60 mL syringe.