# Application of electromagnetic navigation guidance technology in enteral nutrition support for a case of severe acute pancreatitis with duodenal fistula: a case report

## TL;DR

This case report describes using electromagnetic navigation to place a feeding tube in a patient with severe pancreatitis and a duodenal fistula.

## Contribution

The novel use of electromagnetic navigation for enteral nutrition in a complex intestinal fistula case is highlighted.

## Key findings

- Electromagnetic navigation successfully placed a nasojejunal tube in a patient with a descending duodenal fistula.
- Enteral nutrition was initiated after overcoming nasojejunal tube occlusion with this technology.

## Abstract

A female patient with severe acute pancreatitis (SAP) complicated by infected pancreatic necrosis (IPN) developed a descending duodenal fistula during the sixth week of disease progression. Enteral nutrition (EN) delivery was hindered by occlusion of the nasojejunal tube in another hospital. We successfully placed a nasojejunal tube under electromagnetic navigation and initiated enteral nutrition support. This report highlights the application of this nutritional support technology in patients with high-output complex intestinal fistula.