首页|Evaluation of a new method for placing nasojejunal feeding tubes

Evaluation of a new method for placing nasojejunal feeding tubes

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AIM:To compare fluoroscopic,endoscopic and guide wire assistance with ultraslim gastroscopy for placement of nasojejunal feeding tubes.METHODS:The information regarding nasojejunal tube placement procedures was retrieved using the gastrointestinal tract database at Tongji Hospital affiliated to Tongji Medical College.Records from 81 patients who underwent nasojejunal tubes placement by different techniques between 2004 and 2011 were reviewed for procedure success and tube-related outcomes.RESULTS:Nasojejunal feeding tubes were successfully placed in 78 (96.3%) of 81 patients.The success rate by fluoroscopy was 92% (23 of 25),by endoscopic technique 96.3% (26 of 27),and by guide wire assistance (whether via transnasal or transoral insertion) 100% (23/23,6/6).The average time for successful placement was 14.9 ± 2.9 min for fluoroscopic placement,14.8 ± 4.9 min for endoscopic placement,11.1 ± 2.2 min for guide wire assistance with transnasal gastroscopic placement,and 14.7 ± 1.2 min for transoral gastroscopic placement.Statistically,the duration for the third method was significantly different (P < 0.05) compared with the other three methods.Transnasal placement over a guidewire was significantly faster (P < 0.05) than any of the other approaches.CONCLUSION:Guide wire assistance with transnasal insertion of nasojejunal feeding tubes represents a safe,quick and effective method for providing enteral nutrition.

Enteral nutritionNasojejunal feeding tubeGuide wire assistanceFluoroscopyEndoscopy

Hua Qin、Xiao-Yun Lu、Qiu Zhao、De-Min Li、Pei-Yuan Li、Mei Liu、Qi Zhou、Liang Zhu、Hui-Fang Pang、Hui-Zhen Zhao

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Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China

2012

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子:1.001
ISSN:1007-9327
年,卷(期):2012.18(37)
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