Nasogastric feeding tube placement in patients with esophageal cancer: application of ultrathin transnasal endoscopy

Lin, Cheng Hui; Liu, Nai Jen; Lee, Ching Song; Tang, Jui-Hsiang; Wei, Kuo Liang; Yang, Chao-Ping; Sung, Kai Feng; Cheng, Ching‐Yi; Chiu, Cheng‐Tang; Chen, Pang Chi

doi:10.1016/j.gie.2005.12.036

Cited by 30 publications

(22 citation statements)

References 25 publications

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“…10 Nasogastric tubes, gastrostomy (PEG) tubes, gastrojejunostomy (PEG-jejunostomy [PEG-J] tubes, and direct jejunostomy tubes are all effective options for delivering both hydration and nutrition, but none allow oral feeding. [11][12][13][14] Although some investigators have stated that PEG or PEG-J tubes are safe in these patients, this is a controversial issue, with some concerns regarding whether or not a prior PEG or PEG-J leads to worse operative outcomes. 15 The Polyflex stent is a self-expanding plastic stent and is established to be useful in a variety of esophageal diseases, both benign and malignant.…”

Section: Discussionmentioning

confidence: 99%

Placement of Polyflex stents in patients with locally advanced esophageal cancer is safe and improves dysphagia during neoadjuvant therapy

Adler

Fang

Wong

et al. 2009

Gastrointestinal Endoscopy

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Section: Discussionmentioning

confidence: 99%

Placement of Polyflex stents in patients with locally advanced esophageal cancer is safe and improves dysphagia during neoadjuvant therapy

Adler

Fang

Wong

et al. 2009

Gastrointestinal Endoscopy

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“…org/nasogastric-tube-insertion-the-simple-yet-impossible/ accessed 11 Nov 2016). Table 2 shows different RCTs concering NGT insertion methods [62][63][64][65][66][67][68][69][70][71][72][73][74][75].…”

Section: By Equipment Minor Majormentioning

confidence: 99%

“…While their usage continued till 1960s, the new generation of these tube are smaller in diameter and softer than the previous ones and checking the gastric residual volume is easier with them [82]. Lin et al [68] 2006 an ultrathin endoscope is passed through the nose, nasopharynx, esophagus, and stomach. Then, a guidewire is fed into the stomach through the working channel of the endoscope.…”

Section: Historical Review Of Gastric and Feeding Tube Insertionmentioning

confidence: 99%

Nasogastric tube insertion in anaesthetized patients: a comprehensive review

Sanaie

Mahmoodpoor

Najafi

2017

Anaesthesiol Intensive Ther

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Nasogastric tubes (NGT) still remain the easiest and the best way for gastrointestinal tract access. There are various indications for the insertion of a nasogastric tube in anaesthetized and critically ill patients. Although many techniques have been introduced to facilitate nasogastric tube insertion using anatomic landmarks and a group of devices, there is no consensus on a standard method. Moreover, there are different methods for the assessment of the correct placement of a nasogastric tube. In addition to these challenges in insertion and assessment methods, there are varieties of major life-threatening and minor complications to be addressed. Thus, selecting the most appropriate approach requires enough knowledge in this area, considering patient condition and clinical factors, as well as the practitioners' sufficient education and experience, along with skill in performance. This is a comprehensive review of the literature evidence on different methods for nasogastric tube insertion, on the assessment of correct placement and the evaluation of complications, in addition to an approach to the effect of education on the quality of routine practice and patients' outcome.

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“…Although the laryngoscope was developed to assist with nasogastric tube insertion [25–27], it cannot be advanced into the esophagus or deeper structures, thus increasing the difficulty of guiding nasogastric tubes into those structures without mucosal damage or other complications. NGT tube insertion should be performed by experienced physicians to prevent secondary discomfort or tissue damage that can potentially affect the patients' quality of life.…”

Section: Discussionmentioning

confidence: 99%

Novel Visual Nasogastric Tube Insertion System: A Feasibility and Efficiency Study in a Manikin

Qiao-ya

Xie

et al. 2016

Gastroenterology Research and Practice

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Background. Conventional nasogastric tube placement is an essential clinical procedure; however, complications may arise from blind manipulation. We tested the feasibility and efficiency of a visual nasogastric tube insertion system (VNGS) using a manikin. Methods. A microimaging fiber (0.8 mm) was integrated into the nasogastric tube to create the VNGS. Twenty inexperienced physicians were enrolled and assigned to the visual or conventional group. Each physician performed 10 repeated nasogastric tube insertions with visual guidance or the conventional method; another 20 inexperienced medical students received nasogastric tube insertion training using visual guidance or the conventional method. Results. The nasogastric tube successfully reached the stomach and the narrow anatomic structures were visualized with the VNGS. Time required for insertion was significantly shorter in the visual group compared to the conventional group (22.56 ± 3.08 versus 37.30 ± 4.12 seconds, P < 0.001). Tube misplacement was observed in 19/100 cases (19%) in the conventional group; no misplacement was observed in the visual group. Less mucosal damage was noted in the visual group (3.43 ± 1.63 versus 9.86 ± 2.31 cm2). Medical students performed better NGT insertions (shorter insertion time and less procedure-related complications) after undergoing the visual guidance training. Conclusions. The VNGS may provide a new technique for nasogastric tube insertion applicable to clinical use or simulation training.

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Nasogastric feeding tube placement in patients with esophageal cancer: application of ultrathin transnasal endoscopy

Cited by 30 publications

References 25 publications

Placement of Polyflex stents in patients with locally advanced esophageal cancer is safe and improves dysphagia during neoadjuvant therapy

Placement of Polyflex stents in patients with locally advanced esophageal cancer is safe and improves dysphagia during neoadjuvant therapy

Nasogastric tube insertion in anaesthetized patients: a comprehensive review

Novel Visual Nasogastric Tube Insertion System: A Feasibility and Efficiency Study in a Manikin

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