{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T14:12:41Z","timestamp":1762870361097,"version":"build-2065373602"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.3389\/fmed.2025.1615071","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T14:04:06Z","timestamp":1762869846000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Application of electromagnetic navigation guidance technology in enteral nutrition support for a case of severe acute pancreatitis with duodenal fistula: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Jun","family":"Zhou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yalan","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuping","family":"Rong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiusi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1939","DOI":"10.3390\/nu15081939","article-title":"Nutrition in acute pancreatitis: from the old paradigm to the new evidence","volume":"15","author":"De Lucia","year":"2023","journal-title":"Nutrients"},{"key":"B2","doi-asserted-by":"publisher","first-page":"4570","DOI":"10.3390\/nu14214570","article-title":"Nutritional support in pancreatic diseases","volume":"14","author":"Canamares-Orbis","year":"2022","journal-title":"Nutrients"},{"key":"B3","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1080\/17474124.2025.2469835","article-title":"Comprehensive management of gastrointestinal fistulas in necrotizing pancreatitis: a review of diagnostic and therapeutic approaches","volume":"19","author":"Yang","year":"2025","journal-title":"Expert Rev Gastroenterol Hepatol."},{"key":"B4","doi-asserted-by":"publisher","first-page":"5531","DOI":"10.2147\/JIR.S433682","article-title":"Gastrointestinal fistulas in necrotizing pancreatitis receiving a Step-Up approach incidence, risk factors, outcomes and treatment","volume":"16","author":"Liu","year":"2023","journal-title":"J Inflamm Res."},{"key":"B5","doi-asserted-by":"publisher","first-page":"446","DOI":"10.1080\/07315724.2000.10718945","article-title":"Placement of nasoenteral feeding tubes using magnetic guidance: retesting a new technique","volume":"19","author":"Ozdemir","year":"2000","journal-title":"J Am Coll Nutr."},{"key":"B6","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1177\/0148607115575034","article-title":"Use of an electromagnetic device compared with chest x-ray to confirm nasogastric feeding tube position in critical care","volume":"40","author":"Bear","year":"2016","journal-title":"J Parenter Enteral Nutr."},{"key":"B7","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1016\/j.clnesp.2025.05.022","article-title":"Technology advances in the placement of naso-enteral tubes and in the management of enteral feeding in critically ill patients: a narrative study","volume":"68","author":"Singer","year":"2025","journal-title":"Clin Nutr ESPEN."},{"key":"B8","doi-asserted-by":"publisher","first-page":"E1118","DOI":"10.1055\/a-1789-0491","article-title":"Use of an electromagnetic-guided device to assist with post-pyloric placement of a nasoenteral feeding tube: a systematic review and meta-analysis","volume":"10","author":"Mancini","year":"2022","journal-title":"Endosc Int Open."},{"key":"B9","doi-asserted-by":"publisher","first-page":"419","DOI":"10.14309\/ajg.0000000000002645","article-title":"American college of gastroenterology guidelines: management of acute pancreatitis","volume":"119","author":"Tenner","year":"2024","journal-title":"Am J Gastroenterol."},{"key":"B10","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1002\/jpen.2590","article-title":"Guidance for assessment of the inflammation etiologic criterion for the GLIM diagnosis of malnutrition: a modified Delphi approach","volume":"48","author":"Jensen","year":"2024","journal-title":"J Parenter Enteral Nutr."},{"key":"B11","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1016\/j.clnu.2023.12.019","article-title":"ESPEN practical guideline on clinical nutrition in acute and chronic pancreatitis","volume":"43","author":"Arvanitakis","year":"2024","journal-title":"Clin Nutr."},{"key":"B12","doi-asserted-by":"publisher","first-page":"e284","DOI":"10.1097\/SLA.0000000000005624","article-title":"Perforation and fistula of the gastrointestinal tract in patients with necrotizing pancreatitis: a nationwide prospective cohort","volume":"278","author":"Timmerhuis","year":"2023","journal-title":"Ann Surg."},{"key":"B13","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1186\/s13017-023-00503-w","article-title":"Complex duodenal fistulae: a surgical nightmare","volume":"18","author":"Leppaniemi","year":"2023","journal-title":"World J Emerg Surg."},{"key":"B14","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1186\/s12876-024-03539-7","article-title":"Efficiency of laparoscopic retroperitoneal pancreatic necrosectomy for treating infected pancreatic necrosis with duodenal fistula: a single-center retrospective cohort study","volume":"24","author":"Wan","year":"2024","journal-title":"BMC Gastroenterol."},{"key":"B15","doi-asserted-by":"publisher","first-page":"382","DOI":"10.1001\/jama.2020.20317","article-title":"Acute pancreatitis: a review","volume":"325","author":"Mederos","year":"2021","journal-title":"JAMA."},{"key":"B16","doi-asserted-by":"publisher","first-page":"1498","DOI":"10.3390\/nu13051498","article-title":"Nutritional support in patients with severe acute pancreatitis-current standards","volume":"13","author":"Jablonska","year":"2021","journal-title":"Nutrients"},{"key":"B17","doi-asserted-by":"publisher","first-page":"2747","DOI":"10.3748\/wjg.v29.i18.2747","article-title":"Current trends in acute pancreatitis: diagnostic and therapeutic challenges","volume":"29","author":"Zerem","year":"2023","journal-title":"World J Gastroenterol."},{"key":"B18","doi-asserted-by":"publisher","first-page":"D10582","DOI":"10.1002\/14651858.CD010582.pub2","article-title":"Nasogastric versus nasojejunal tube feeding for severe acute pancreatitis","volume":"3","author":"Dutta","year":"2020","journal-title":"Cochrane Database Syst Rev."},{"key":"B19","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1186\/s12876-017-0587-8","article-title":"Analysis of risk factors related to gastrointestinal fistula in patients with severe acute pancreatitis: a retrospective study of 344 cases in a single Chinese center","volume":"17","author":"Hua","year":"2017","journal-title":"BMC Gastroenterol."},{"key":"B20","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1053\/j.gastro.2019.07.064","article-title":"American gastroenterological association clinical practice update: management of pancreatic necrosis","volume":"158","author":"Baron","year":"2020","journal-title":"Gastroenterology."},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.2174\/1573405620666230811142726","article-title":"Electromagnetically navigated tube placement device for bedside placement of small bowel feeding tube on patients with acute severe pancreatitis: comparative study","author":"Tan","year":"2023","journal-title":"Curr Med Imaging."},{"key":"B22","doi-asserted-by":"publisher","first-page":"D13865","DOI":"10.1002\/14651858.CD013865.pub2","article-title":"Electromagnetic-guided versus endoscopic-guided postpyloric placement of nasoenteral feeding tubes","volume":"10","author":"Watanabe","year":"2022","journal-title":"Cochrane Database Syst Rev."},{"key":"B23","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1186\/s40560-020-00506-8","article-title":"Electromagnetic-guided versus endoscopic placement of post-pyloric feeding tubes: a systematic review and meta-analysis of randomised controlled trials","volume":"8","author":"Wei","year":"2020","journal-title":"J Intensive Care."}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1615071\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T14:04:07Z","timestamp":1762869847000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1615071\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,11]]},"references-count":23,"alternative-id":["10.3389\/fmed.2025.1615071"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2025.1615071","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,11]]},"article-number":"1615071"}}