Endoscopic placement of nasojejunal feeding tubes in ICU patients

1999 ◽  
Vol 13 (12) ◽  
pp. 1211-1214 ◽  
Author(s):  
C. P. Brandt ◽  
E. A. Mittendorf
Keyword(s):  
Icu Patients ◽  
Feeding Tubes ◽  
Endoscopic Placement ◽  
Nasojejunal Feeding

Endoscopic Insertion of Nasojejunal Feeding Tube at Bedside for Critically Ill Patients: Relationship between Tube Position and Intragastric Countercurrent of Contrast Medium

2019 ◽  
Vol 75 (3) ◽  
pp. 163-167
Author(s):  
Hiroomi Tatsumi ◽  
Masayuki Akatsuka ◽  
Satoshi Kazuma ◽  
Yoichi Katayama ◽  
Yuya Goto ◽  
...  
Keyword(s):  
Contrast Medium ◽  
Feeding Tube ◽  
Tube Insertion ◽  
Abdominal Radiography ◽  
Feeding Tubes ◽  
Tube Position ◽  
Endoscopic Insertion ◽  
Endoscopic Placement ◽  
Nasojejunal Feeding ◽  
Enteral Nutrients

Background and Oblectives: We evaluated the success rate of endoscopically positioned nasojejunal feeding tubes and the intragastric countercurrent of contrast medium thereafter. Method: This retrospective observational study investigated patients who were admitted to a single intensive care unit and required endoscopic placement of a post-pyloric feeding tube between January 2010 and June 2016. The feeding tube was grasped with forceps via a transoral endoscope and inserted into the duodenum or jejunum. Thereafter, we assessed the position of the tube and the intragastric countercurrent using abdominal radiography with contrast medium. Results: The tube tip was inserted at the jejunum and the duodenal fourth portion in 55.8 and 33.6% of patients, respectively. The tip of the inserted tube had moved into the jejunum of 71.7% of patients by the following day. The countercurrent rate was significantly lower among patients with a tube inserted into the duodenal fourth portion or more distal than among those with tubes inserted more proximally (8.4 vs. 45.4%, p = 0.0022). Conclusions: The endoscopic insertion and positioning of a nasojejunal feeding tube seemed effective because the rate of tube insertion into the duodenal fourth portion or more distal was about 90%. The findings of intragastric countercurrents indicated that feeding tubes should be inserted into the duodenal fourth portion or beyond to prevent vomiting and the aspiration of enteral nutrients.

scholarly journals Electromagnetic guided versus endoscopic placement of nasojejunal feeding tubes after pancreatoduodenectomy: a prospective pilot study

HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e846
Author(s):  
A. Gerritsen ◽  
A. Duflou ◽  
M. Ramali ◽  
O.R. Busch ◽  
D.J. Gouma ◽  
...  
Keyword(s):  
Pilot Study ◽  
Feeding Tubes ◽  
Prospective Pilot Study ◽  
Endoscopic Placement ◽  
Nasojejunal Feeding

Electromagnetic-Guided Versus Endoscopic Placement of Nasojejunal Feeding Tubes After Pancreatoduodenectomy

Pancreas ◽  
2016 ◽  
Vol 45 (2) ◽  
pp. 254-259 ◽  
Author(s):  
Arja Gerritsen ◽  
Ann Duflou ◽  
Max Ramali ◽  
Olivier R.C. Busch ◽  
Dirk J. Gouma ◽  
...  
Keyword(s):  
Feeding Tubes ◽  
Endoscopic Placement ◽  
Nasojejunal Feeding

Observation of inadvertent tube loss in ICU: effect of nasal bridles

2019 ◽  
Vol 28 (18) ◽  
pp. 1170-1174
Author(s):  
Kaylee Allan ◽  
Stephen Taylor ◽  
Rowan Clemente ◽  
Deirdre Toher
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Enteral Nutrition ◽  
Service Evaluation ◽  
Early Enteral Nutrition ◽  
Feeding Tubes ◽  
Nasojejunal Feeding ◽  
Review Current

Background: safe placement and securement of feeding tubes are essential to establishing early enteral nutrition. Nasogastric or nasojejunal feeding tubes are often inadvertently removed, and using a nasal bridle can reduce the number of tube replacements required. Aim: to review current nasal bridle practices on one intensive care unit. Over a 3-month period, nasal bridle use was recorded to measure unintentional tube loss and tube duration (the time a tube remained in situ). Method: an observational service evaluation. Findings: 109 patients were recruited; 205 tubes were passed and 77 bridles were inserted, with 42% (n=46) of the bridles placed on day 1. Tubes secured with tape were more likely to be dislodged than tubes secured with a bridle, P=0.0001. Duration of tubes remaining in situ was significantly longer in patients who had a bridle fitted on day 1, P=0.0001 compared with tubes secured with tape. Conclusion: securing a tube with a nasal bridle from day 1 is independently associated with reduced tube loss, increased duration of tube use, and likelihood that the tube would reach redundancy when it was no longer required.

Electromagnetic-guided placement of nasoduodenal feeding tubes versus endoscopic placement: a randomized, multicenter trial

2018 ◽  
Vol 87 (1) ◽  
pp. 110-118 ◽  
Author(s):  
Wouter F.W. Kappelle ◽  
Daisy Walter ◽  
Paul H. Stadhouders ◽  
Hendrik J.A. Jebbink ◽  
Frank P. Vleggaar ◽  
...  
Keyword(s):  
Multicenter Trial ◽  
Feeding Tubes ◽  
Endoscopic Placement

Endoscopic placement of feeding tubes: If the gut works, it can be reached and used

2003 ◽  
Vol 22 ◽  
pp. S84
Author(s):  
M.K. Mallath ◽  
Y.M. Shastri ◽  
M. Shirodkar ◽  
S.A. Mehta
Keyword(s):  
Feeding Tubes ◽  
Endoscopic Placement
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