Endoscopic placement of nasojejunal tubes: A randomized, controlled, prospective trial comparing suitability and technical success for two different tubes

Schwab, Dieter; Mühldorfer, Steffen; Nusko, G.; Radespiel‐Tröger, Martin; Hahn, Eckhart G.; Strauss, Richard J.

doi:10.1016/s0016-5107(02)70360-x

Cited by 14 publications

(18 citation statements)

References 19 publications

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“…43,43 Insertion success rate and procedure times seem to improve with experience, 15 although this is not uniformly true. 44 Endoscopic placement requiring oronasal transfer tubing can be cumbersome and timeconsuming. 45 The reported average length of time that NETs stay in place is 7 to 24 days, with a reported range of 1 to 94 days.…”

Section: Clinical Efficacy and Ease Of Usementioning

confidence: 99%

“…The more flexible tube required a significantly longer procedure time and had a lower nursing satisfaction because of more frequent leaking and dislodgment. 44 With regard to aspiration risk, a retrospective study suggested that NET placement may be associated with a higher incidence of pneumonia relative to PEG tube placement. 72 However, a prospective study showed equal rates of aspiration pneumonia with NET postpyloric and intragastric feeding.…”

Section: Comparative Datamentioning

confidence: 99%

See 1 more Smart Citation

Enteral nutrition access devices

Kwon¹,

Banerjee²,

Desilets³

et al. 2010

Gastrointestinal Endoscopy

113

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Section: Clinical Efficacy and Ease Of Usementioning

confidence: 99%

Section: Comparative Datamentioning

confidence: 99%

Enteral nutrition access devices

Kwon¹,

Banerjee²,

Desilets³

et al. 2010

Gastrointestinal Endoscopy

113

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“…Use of jejunal tubes can improve nutrition and reduce gastric reflux and thereby probably prevents aspiration of nutrition fluid [16,17]. A spiral nasal jejunal nutrition tube is the most commonly used enteral nutrition method [15][16][17], but it is still difficult to avoid the problem of reflux aspiration of gastric fluid. Therefore, double tube placement with continuous gastric decompression and nasal jejunal tubes is a traditional and common enteral nutrition pathway for patients with severe acute pancreatitis.…”

Section: Discussionmentioning

confidence: 99%

“…There are currently three placement methods for Freka-Trelumina enteral nutrition tubes (blind, radiographyguided, and endoscope-guided placement) [10][11][12][13][14][15]. Compared with the traditional placement method, the bedside ultrasound-guided method can avoid the risks that come with patient transportation and the discomfort and damage associated with the gastroscope method, and it can be conveniently performed non-invasively at the bedside.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of ultrasound-guided Freka-Trelumina enteral nutrition tube placement in the treatment of acute pancreatitis

et al. 2020

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Background: Enteral nutrition should be implemented as early as possible in patients with moderate or severe acute pancreatitis. This study was designed to evaluate the feasibility and Deffectiveness of ultrasound-guided Freka-Trelumina tube placement for enteral nutrition in acute pancreatitis. Methods: Patients with severe acute pancreatitis admitted to Shengjing Hospital of China Medical University who needed Freka-Trelumina tube placement for enteral nutrition and gastrointestinal decompression were included in the current study. The relevant evaluation indicators of tube placement included the success rate of tube placement, tube placement time, tube shift rate, and blocking rate. In addition, the evaluation indicators of ultrasound-guided tube placement (from 1 January 2018 to 31 July 2019) were compared with those of previous endoscope-guided placement (from 1 January 2015 to 31 December 2017) by analysing the data from the electronic medical record system. Results: The success rate of ultrasound-guided tube placement was 90.7% (49/54). All 49 patients tolerated the Freka-Trelumina feeding tube. The average ultrasound-guided tube placement time for the 49 patients was 18.4 ± 12.8 min (range, 5-36 min). The Freka-Trelumina feeding tube had a shift rate of 10.2% (5/49). The blocking rate of the Freka-Trelumina feeding tube was 12.2% (6/49). The success rate of tube placement, tube shift rate and blocking rate for endoscope-guided tube placement were 100% (62/62), 11.3% (7/62), and 12.9% (8/62), respectively. The average endoscope-guided tube placement time for the 62 patients was 16.5 ± 5.7 min (range, 12-31 min). The comparison between the ultrasound-guided group and the endoscope-guided group showed that the success rate of tube placement, tube placement time, tube shift rate and blocking rate were similar. Conclusion: The ultrasound-guided method can be done non-invasively at the bedside, which is safe and convenient, and the Freka-Trelumina feeding tube can be placed in time to achieve the goal of early enteral nutrition and gastrointestinal decompression.

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“…There are currently three placement methods for Freka-Trelumina enteral nutrition tubes (blind, radiography-guided, and endoscope-guided placement) [10][11][12][13][14][15]. Compared with the traditional placement method, the bedside ultrasound-guided method can avoid the risks that come with patient transportation and the discomfort and damage associated with the gastroscope method, and it can be conveniently performed non-invasively at the bedside.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of ultrasound-guided Freka-Trelumina enteral nutrition tube placement in the treatment of acute pancreatitis

Liu

Guo

Ren

et al. 2019

Preprint

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B ackground: Enteral nutrition should be implemented as early as possible in patients with moderate or severe acute pancreatitis. This study was designed to evaluate the feasibility and effectiveness of ultrasound-guided Freka-Trelumina tube placement for enteral nutrition in acute pancreatitis. Methods: Patients with severe acute pancreatitis admitted to Shengjing Hospital of China Medical University who needed Freka-Trelumina tube placement for enteral nutrition and gastrointestinal decompression were included in the current study. The relevant evaluation indicators of tube placement included the success rate of tube placement, tube placement time, tube shift rate, and blocking rate. In addition, the evaluation indicators of ultrasound-guided tube placement (from 1 January 2018 to 31 July 2019) were compared with those of previous endoscope-guided placement (from 1 January 2015 to 31 December 2017) by analysing the data from the electronic medical record system. Results: The success rate of ultrasound-guided tube placement was 90.7% (49/54). All 49 patients tolerated the Freka-Trelumina feeding tube. The average ultrasound-guided tube placement time for the 49 patients was 18.4 ± 12.8 min (range, 5-36 min). The Freka-Trelumina feeding tube had a shift rate of 10.2% (5/49). The blocking rate of the Freka-Trelumina feeding tube was 12.2% (6/49). The success rate of tube placement, tube shift rate and blocking rate for endoscope-guided tube placement were 100% (62/62), 11.3% (7/62), and 12.9% (8/62), respectively. The average endoscope-guided tube placement time for the 62 patients was 16.5 ± 5.7 min (range, 12-31 min). The comparison between the ultrasound-guided group and the endoscope-guided group showed that the success rate of tube placement, tube placement time, tube shift rate and blocking rate were similar. Conclusion: The ultrasound-guided method can be done non-invasively at the bedside, which is safe and convenient, and the Freka-Trelumina feeding tube can be placed in time to achieve the goal of early enteral nutrition and gastrointestinal decompression.

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Endoscopic placement of nasojejunal tubes: A randomized, controlled, prospective trial comparing suitability and technical success for two different tubes

Cited by 14 publications

References 19 publications

Enteral nutrition access devices

Enteral nutrition access devices

Evaluation of ultrasound-guided Freka-Trelumina enteral nutrition tube placement in the treatment of acute pancreatitis

Evaluation of ultrasound-guided Freka-Trelumina enteral nutrition tube placement in the treatment of acute pancreatitis

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