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After endoscopic control of variceal hemorrhage, what minimum safety bundle (timing, tube type/size, monitoring, and contraindications) do you require to place a small-bore nasoenteric tube within 24 hours for nutrition and hepatic encephalopathy therapy?

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Hepatology · UC San Diego Health

I usually wait at least 48 to 72 hours before placing a Dobhoff or Keofeed small-bore nasoenteric tube. This allows sufficient time for bands to create their local ulcers and then fall off, minimizing the risk of rehemorrhage.