A dual cannula apparatus is provided for insertion into the gastrointestinal tract. One end of a first outer cannula is placed within the small intestine providing a guide for advancement of a second inner cannula. The second inner cannula extends beyond the first outer cannula and provides a source of nutritional support and pharmacological therapy. The first outer cannula has a radiopaque tip to facilitate placement thereof under x-ray or fluoroscopic guidance. The first outer cannula can also be provided with a flared end for maintenance with the naris. The second inner cannula includes one or more openings for flow of the nutritional support or pharmacological therapy into the small intestine.
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