# Enteral nutritional support for an elderly critically ill patient with gastroesophageal reflux disease and situs inversus totalis: a case report

## TL;DR

This case report describes how enteral nutrition was successfully provided to an elderly patient with rare conditions using electromagnetic navigation guidance.

## Contribution

The use of electromagnetic navigation guidance for enteral nutrition in a patient with situs inversus totalis is novel.

## Key findings

- Enteral nutrition was challenging due to the patient's situs inversus totalis and gastroesophageal reflux disease.
- Electromagnetic navigation guidance enabled successful nasojejunal tube placement.
- The case highlights effective management strategies for enteral nutrition in complex patients.

## Abstract

Herein, we present a case of serious protein-energy malnutrition in an elderly critically ill patient with situs inversus totalis. It was difficult to implement enteral nutrition in this patient for more than 2 months of hospitalisation in another hospital, and we applied electromagnetic navigation guidance to implement enteral nutrition after successful placement of nasojejunal tubes. We reviewed the management of enteral nutrition support.