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 ◽  
...  
2019 ◽  
Vol 75 (3) ◽  
pp. 163-167
Author(s):  
Hiroomi Tatsumi ◽  
Masayuki Akatsuka ◽  
Satoshi Kazuma ◽  
Yoichi Katayama ◽  
Yuya Goto ◽  
...  

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.


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

1999 ◽  
Vol 13 (12) ◽  
pp. 1211-1214 ◽  
Author(s):  
C. P. Brandt ◽  
E. A. Mittendorf

2018 ◽  
Author(s):  
Angelos Kyriacou ◽  
Alexis Kyriacou ◽  
Akheel A Syed ◽  
Petros Perros

TH Open ◽  
2021 ◽  
Vol 05 (02) ◽  
pp. e152-e154
Author(s):  
Thomas Lecompte ◽  
Michael Hardy ◽  
Isabelle Michaux ◽  
Alain Dive ◽  
François Mullier

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