A system and method for monitoring the placement of a feeding tube in the jejunum of a patient includes a system comprising a feeding tube and a tubular member received in a passageway extending through the feeding tube. The tubular member is sized relative to the feeding tube such that an echogenic distal length of the tubular member extends distal to the open distal end of the feeding tube. The distal end of the assembly is advanced into the small intestine of the patient, and a negative pressure is drawn through an opening in the distal length of the tubular member to draw the tubular member distal length into juxtaposition with a wall of the small intestine. The position of the assembly in the small intestine may be observed in real time via ultrasound visualization of the echogenic portion.