- Electromagnetic navigation-guided nasojejunal tube insertion succeeded after multiple failed blind attempts in a 20-year-old with cerebral palsy, severe scoliosis, and BMI 7.14 kg/m2.
- Bedside placement using CORTRAK 2 electromagnetic system was rapid and accurate, completed in approximately 5 minutes with tip positioned 72 cm into the jejunum.
- Enteral feeding was well tolerated; discharged on post-procedure day 2, no tube or nutrition adverse events during four week follow up, home tube feeding continued.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2026 Aug 28;51(8):1803-1808. doi: 10.11817/j.issn.1672-7347.2026.260136.
ABSTRACT
Establishing a safe enteral nutrition route is highly challenging in critically ill patients with complex anatomical abnormalities. Conventional tube-placement techniques are often difficult to perform in such patients, necessitating exploration of more suitable alternatives. We report the case of a 20-year-old woman who was admitted to The Second Xiangya Hospital, Central South University, on November 26, 2025, because of “coughing and choking during eating.” She had a history of cerebral palsy, severe scoliosis, and cachexia [body mass index (BMI), 7.14 kg/m2], accompanied by marked displacement of the abdominal viscera. After multiple failed attempts at blind tube placement, and because both endoscopy-guided tube placement and gastrostomy were not feasible, bedside nasojejunal tube placement was successfully performed using the CORTRAK 2 electromagnetic navigation system. The procedure was uneventful and took approximately 5 minutes. The tube was inserted to a depth of 72 cm, with the tip accurately positioned in the jejunum. After the procedure, a peptide-based enteral nutrition formula was administered at an initial infusion rate of 20 mL/h and was well tolerated. The patient was discharged on post-procedure day 2 after her condition had stabilized, and home tube feeding was subsequently provided by family members with caregiving experience. No tube placement-related or nutrition-related adverse events occurred during the procedure or throughout the 4-week follow-up period, and enteral nutritional support proceeded successfully. This case suggests that, for critically ill patients with complex anatomical abnormalities in whom conventional tube-placement methods have failed, bedside electromagnetic navigation-guided nasojejunal tube placement may provide a safe, accurate, efficient, and minimally invasive alternative.
PMID:42935208 | DOI:10.11817/j.issn.1672-7347.2026.260136
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