About Nasojejunal Tube Placement
Key Highlights
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Provides direct nutritional support to the small intestine, bypassing the stomach.Enables medication delivery when oral intake is not possible.Minimally invasive procedure often performed with endoscopic guidance.Helps maintain gut integrity and function during critical illness.Can be a temporary solution until normal oral feeding is resumed.Reduces the risk of aspiration compared to nasogastric feeding./ul
Who is this surgery for?
- Severe gastroparesis (delayed stomach emptying).
- Acute or severe pancreatitis requiring bowel rest.
- Upper gastrointestinal obstructions or fistulas.
- Post-operative patients who cannot tolerate gastric feeding.
- Patients at high risk for aspiration pneumonia.
- Critical illness or trauma requiring specialized nutritional support.
- Certain metabolic or genetic disorders affecting digestion.
How to prepare
- Fasting for 6-8 hours prior to the procedure to ensure an empty stomach.
- Review of current medications; adjustments may be needed for blood thinners.
- Informed consent process explaining the procedure, benefits, and risks.
- Local anesthetic spray may be applied to the nose and throat to minimize discomfort.
- Intravenous (IV) access is established for sedation, if used.
- Removal of dentures or oral appliances before the procedure.
Risks & possible complications
- Discomfort in the nose, throat, or abdomen during and after placement.
- Minor nosebleed or nasal irritation.
- Misplacement of the tube into the lungs (rare, but serious).
- Perforation of the esophagus, stomach, or intestine (very rare).
- Tube migration, blockage, or accidental removal.
- Diarrhea or cramping from the tube feedings.
- Infection at the insertion site or sinusitis.
- Reflux or aspiration if the tube moves back into the stomach.
Recovery & hospital stay
- Immediate recovery involves monitoring in a recovery area until sedation wears off.
- A chest X-ray is often taken to confirm correct tube placement before use.
- Mild sore throat or nasal discomfort is common and subsides in a day or two.
- Tube feedings are started slowly, as per the dietitian's protocol.
- Regular flushing of the tube with water is required to prevent blockages.
- The insertion site (nostril) should be kept clean and checked for redness or irritation.
- Patients and caregivers are trained on tube care, feeding administration, and problem recognition.
- Follow-up appointments are scheduled to monitor nutritional status and tube function.
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Typical hospital stay: 0-1 days
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Expected recovery time: Immediate for procedure; adaptation to tube feeding varies
Frequently Asked Questions
If you are considering nasojejunal tube placement in India, these questions and answers can help you make a confident, informed decision.
Popular choices for nasojejunal tube placement in India include Kamineni Hospital, Tadigadapa, SIMS Hospital Vadapalani, KMC Hospital Mangalore, Manipal Hospital Baner, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform nasojejunal tube placement. MediFyr helps you compare gastroenterologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for nasojejunal tube placement compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 15 Thousand – 45 Thousand | 0-1 days | ~ Immediate for procedure; adaptation to tube feeding varies | Know More |
| Turkey | TRY 52.5 Thousand – 158 Thousand | 0-1 days | ~ Immediate for procedure; adaptation to tube feeding varies | Know More |
Top hospitals for Nasojejunal Tube Placement in India
These partner hospitals in India have dedicated gastroenterology teams and experience managing patients undergoing nasojejunal tube placement.
Ayaan Garcia, a 68-year-old retired mechanic,...
Ayaan Garcia, a 68-year-old retired mechanic, had been struggling for months. A complex abdominal surgery for a perforated ulcer left him with severe gastroparesis, his stomach simply wouldn't empty. Despite medication, he couldn't keep down enough food or even water. He was rapidly losing weight, felt constantly weak and dizzy, and was terrified of needing to go back to the hospital for IV nutrition. His gastroenterologist, Dr. Chen, recommended a nasojejunal (NJ) tube. This thin, flexible tube would be passed through his nose, past his paralyzed stomach, and directly into his jejunum (small intestine), allowing him to receive liquid nutrition and medications. The procedure was uncomfortable; Ayaan felt pressure and a strong gag reflex as the tube was guided with X-ray assistance. He described it as 'the weirdest feeling I've ever had.' Emotionally, he felt defeated and anxious, mourning the loss of eating normally. However, within 24 hours of starting the tube feeds, his energy began to return. The constant nausea subsided. After two weeks, he had gained 4 pounds. The tube was a visible reminder of his illness, but it became his lifeline. His anxiety transformed into cautious optimism. He could finally participate in family life again from his armchair, no longer tethered to a hospital bed, feeling a sense of control returning as his body healed.
Gastroenterologists for Nasojejunal Tube Placement
Explore experienced gastroenterologists who regularly perform nasojejunal tube placement and provide pre- and post-operative care in India.
- 25 Years Experience
- Gastroenterologist
Miot Hospital Chennai, Chennai
- 34 Years Experience
- Gastroenterologist
Miot Hospital Chennai, Chennai
- 20 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 16 Years Experience
- Gastroenterologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 11 Years Experience
- Gastroenterologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 11 Years Experience
- Gastroenterologist
Kamineni Hospital LB Nagar, Hyderabad
- 8 Years Experience
- Gastroenterologist
Kamineni Hospital LB Nagar, Hyderabad
- 14 Years Experience
- Gastroenterologist
Manipal Hospital Gurgaon, Gurgaon
- 18 Years Experience
- Gastroenterologist
- 49 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 35 Years Experience
- Gastroenterologist
- 32 Years Experience
- Gastroenterologist
- 30 Years Experience
- Gastroenterologist
Metro Hospital, Sector 11, Noida
- 30 Years Experience
- Gastroenterologist
Metro Hospital, Sector 11, Noida
- 21 Years Experience
- Gastroenterologist
- 21 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 10 Years Experience
- Gastroenterologist
Metro Hospital, Sector 11, Noida
- 9 Years Experience
- Gastroenterologist
Miot Hospital Chennai, Chennai