Electromagnetic-Guided Versus Endoscopic Placement of Nasojejunal Feeding Tubes After Pancreatoduodenectomy: A Prospective Pilot Study
| Autor: | Marc G. Besselink, Olivier R. Busch, Thomas M. van Gulik, Elisabeth M. H. Mathus-Vliegen, Max Ramali, Dirk J. Gouma, Arja Gerritsen, Els J. M. Nieveen van Dijkum, Ann Duflou |
|---|---|
| Přispěvatelé: | Other departments, Amsterdam Gastroenterology Endocrinology Metabolism, Cancer Center Amsterdam, Surgery, Other Research, Gastroenterology and Hepatology |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Endocrinology Diabetes and Metabolism medicine.medical_treatment MEDLINE Pilot Projects Outcome assessment Pancreaticoduodenectomy 03 medical and health sciences Enteral Nutrition 0302 clinical medicine Endocrinology Outcome Assessment Health Care Internal Medicine medicine Humans Intubation Prospective Studies Prospective cohort study Intubation Gastrointestinal Contraindication Aged Hepatology business.industry Magnetic Phenomena Reproducibility of Results Middle Aged Surgery Endoscopes Gastrointestinal 030220 oncology & carcinogenesis Tube placement Feasibility Studies Female 030211 gastroenterology & hepatology Nasojejunal feeding business |
| Zdroj: | Pancreas, 45(2), 254-259. Lippincott Williams and Wilkins |
| ISSN: | 0885-3177 |
| Popis: | An altered anatomy such as after pancreatoduodenectomy is currently seen as relative contraindication for bedside electromagnetic (EM)-guided nasojejunal feeding tube placement. The aim of this study was to determine the feasibility and safety of bedside EM-guided placement of nasojejunal feeding tubes as compared with endoscopy in patients after pancreatoduodenectomy. We performed a prospective monocenter pilot study in patients requiring enteral feeding after pancreatoduodenectomy (July 2012-March 2014). Primary end point was the success rate of primary tube placement confirmed on plain abdominal x-ray followed by successful enteral feeding. Overall, 53 (42%) of 126 patients who underwent pancreatoduodenectomy required a nasojejunal feeding tube, of which 36 were placed under EM guidance and, in 17, it was placed by endoscopy. Initial tube placement was successful in 21 (58%) of 36 patients with EM guidance and 9 (53%) of 17 patients with endoscopy (P = 0.71). No complications occurred during the placement procedures. Dislodgement and/or blockage of the tube occurred in 14 (39%) of 36 patients in the EM-guided group and 8 (47%) of 17 patients in the endoscopic group (P = 0.57). Bedside EM-guided placement of nasojejunal feeding tubes by nurses was equally successful as endoscopic placement in patients after pancreatoduodenectomy |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|