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Esophagostomy Feeding Tube Placement
Retrograde Technique: Tunneler for Esophagostomy Feeding Tube Placement
EASIER AND FASTER – Retrograde tunneling greatly improves the ability to easily, safely and quickly position the MILA length adjustable Esophagostomy Feeding Tubes. See MILA website for link to YouTube video. DESCRIPTION ITEM # PRICE 14Fr Esophagostomy Tube Tunneler use for sizes 10Fr and 14Fr tubes ETUN14 $85.00 18Fr Esophagostomy Tube Tunneler ETUN18 $85.00 Connect this end to esophagostomy tube
This technique allows the distal tip of the catheter to be manually passed through the mouth into the esophagus. The proximal end of the tube is pulled through the neck with the tunneler. The tube is then cut to the desired length and the Y-adapter secured in place. 1 2 3 4
12 in / 30.5 cm
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Identify the external landmark for catheter to exit. Measure and mark the esophagostomy tube.
Advance the tunneler through the mouth and into the esophagus. Rotate the tunneler to angle the tip laterally.
Make a small incision down to the tunneler, then advance the tunneler through the incision.
Grasp the end of the tunneler with hemostats to prevent retraction.
Trim flare off the end of the catheter then attach other end of the esophagostomy tube to the tunneler.
Gently pull the tunneler through the skin until the tube flips.
Trim the tube to desired length and reattach the Y-adapter. Secure the catheter.
Antegrade Technique: Tube Passer for Esophageal Feeding Tube Placement
Designed to facilitate placement of E-tubes and reduce the risk of bleeding and subsequent skin infections. It is available in 3 different sizes and is compatible with all E-tubes as well as Esophageal Balloon Dilation Feeding Tubes used
for management of esophageal strictures (pages 60-61). See MILA website for detailed instructions and videos. DESCRIPTION ITEM #
PRICE
18Fr Introducer for 10Fr BE Tube and 14Fr Esophagostomy Tube 22Fr Introducer for 14Fr BE Tube and 18Fr Esophagostomy Tube 26Fr Introducer for 18Fr BE Tube
BE18MI $141.85
Stylet
BE22MI $141.85 BE26MI $141.85
Tube Passer
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Pass the tip of tube passer between the angle of the mandible and the thoracic inlet, and dorsal to the jugular vein. Push the tube passer through the small incision.
Separate and remove the stylet from the tube passer.
Pass the esophagostomy tube retrograde and withdraw the tube passer via the mouth to avoid passing oral contaminants through the incision.
Pass the tapered end of the esophagostomy tube down the esophagus.
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