Ep. 471 All Things Enteral Access Part 1 from Dr. Peter Bream

BackTable Vascular & Interventional

Do you have questions about enteral access? Dr. Peter Bream’s got you covered! In this episode Dr. Bream, former Professor at UNC Chapel Hill School of Medicine and current private practice interventional radiologist, shares his extensive knowledge on enteral access.

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SYNPOSIS

The discussion covers various insertion techniques, the use of different types of tubes including NG, G, and GJ tubes, and specialized methods like the Balloon-Assisted Gastrostomy (BAG) and Percutaneous Transesophageal Gastrostomy (PTEG). Dr. Bream also provides valuable insights on handling complications, patient preparation, and post-procedure care, making this episode a comprehensive guide for all things enteral access. Be sure to check out Part 2 next.

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TIMESTAMPS

00:00 - Introduction

03:00 - Tubes for Enteral Access

15:48 - Techniques and Personal Experiences

29:59 - Limitations and Techniques for Stroke Patients

30:45 - Patient Comfort and Sedation

37:16 - Complications and Safety Measures

39:14 - Palliative Techniques and Special Cases

49:49 - Post-Procedure Care and Maintenance

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RESOURCES

Percutaneous gastrostomy:

https://pubmed.ncbi.nlm.nih.gov/6414043/

Retrospective comparison of outcomes and associated complications between large bore radiologically inserted gastrostomy tube types:

https://pubmed.ncbi.nlm.nih.gov/30073401/

Single-Step Method for Pull-Type Gastrostomy Tube Placement:

https://pubmed.ncbi.nlm.nih.gov/31542269/

Balloon Assisted Gastrostomy (BAG) YouTube Video:

https://youtu.be/GuF7BYW2Hm0?si=6xUIDQaQV-ywX1ua

IR Playbook: A Comprehensive Introduction to Interventional Radiology (1st edition):

https://link.springer.com/book/10.1007/978-3-319-71300-7

IR Playbook: A Comprehensive Introduction to Interventional Radiology Second Edition 2024:

https://link.springer.com/book/10.1007/978-3-031-52546-9

Pediatric gastrostomy tubes and techniques: making safer and cleaner choices:

https://pubmed.ncbi.nlm.nih.gov/29180216/