Endoscopic placement of enteral feeding tubes

Rafferty, G.; Tham, T. C. K.

doi:10.4253/wjge.v2.i5.155

Cited by 20 publications

(13 citation statements)

References 71 publications

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“…It is usually reserved for patients in whom gastric feeding is contraindicated, for example, due to severe gastro-oesophageal reflux disease, gastroparesis, altered anatomy, gastric outlet syndrome, gastric fistula or those at high risk of aspiration pneumonia 11 15 16. A Cochrane review comparing gastric versus post-pyloric tube feeding suggested that post-pyloric tube feeding delivered more nutrients and lower risk of pneumonia in severely ill patients; however, currently we still have only limited evidence 17…”

Section: Enteral Tube Feedingmentioning

confidence: 99%

Enteral feeding in neurological disorders

Stavroulakis

McDermott

2016

Pract Neurol

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Malnutrition and weight loss, due to suboptimal oral intake, are common in patients with neurological disorders, and associated with increased morbidity, disability and mortality. The nutritional management of neurological patients is crucial and enteral feeding is a commonly used intervention to provide nutritional support. This review presents the different methods of enteral tube feeding and discusses its practice and efficacy in terms of clinical outcomes in the context of motor neurone disease Parkinson s disease Alzheimer s disease and other dementias; and stroke.

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Section: Enteral Tube Feedingmentioning

confidence: 99%

Enteral feeding in neurological disorders

Stavroulakis

McDermott

2016

Pract Neurol

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“…In our method, no additional manpower or resources are required and avoids unnecessary delays. [ 6 10 ]…”

Section: Discussionmentioning

confidence: 99%

Bedside placement of small-bowel feeding tube in Intensive Care Unit for enteral nutrition

Gokhale

Kantoor

Prakash

et al. 2016

Indian Journal of Critical Care Medicine

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Enteral nutrition is the preferred mode of nutrition in critically ill patients whenever feasible as it has a number of advantages over parenteral feeding. Both gastric and small-bowel feeding can effectively deliver calories. In patients with gastroparesis, small-bowel feeding can help avoid parenteral feeding. We carried out a retrospective observational study to assess the ability to insert the Tiger 2 tube into the small bowel at the bedside in 25 patients who failed to tolerate gastric feeds. The time taken, rate of successful insertion, and ability to feed these patients using a standardized feeding protocol were noted. Success rate of insertion was 78% and feeding could be established. This method reduced the delays and risks associated with transportation and dependence on other specialties.

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“…The guidewire method for placing NGT required a mouth-to-nose wire transfer after the placement of guidewires. [21,22] Mouth-to-nose wire transfer caused technical difficulties, consumed more time, and increased patient suffering. Different from the traditional guidewire method, the NGT and the guidewire were passed through the nose down into the oesophagus.…”

Section: Guidewire Method: Advantages and Limitationsmentioning

confidence: 99%

Palliative nasogastric tube placement for patients with advanced esophageal cancer with nearly total obstruction: Consider the feasibility and acceptability considerations

Yang

Huang

Chang

2019

Preprint

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Background: Nasogastric tube (NGT) feeding was reasonable choice for patients with advanced esophageal cancer with a short-life expectancy. Bedside blind NGT placement beyond the nearly total obstruction lesion usually fail and is challenging. Each individual patient might have different cancer stage, tumor location and size, natural course of the disease, technique feasibility, and tolerability of NGT placement. This study evaluates the benefits and limitations of palliative NGT placements for advanced esophageal cancer during their last months of life. Method: Retrospective observation study was performed. We implemented three techniques of palliative NGT placement, compared the advantages and limitations, and evaluated the clinical outcomes in patients advanced esophageal cancer with nearly total obstruction. The present study was performed in at a tertiary care teaching hospital, Taiwan. Patients (n =32) received palliative care, failure of bedside blind NGT placement, and/or NPO (Nil per os) treatment were included. Patients were divided into different palliative NGT placements: guidewire method (n = 6), the drag method (n = 6), push method (n = 10). Results: Success rate of palliative NGT placement was observed in the guidewire method (75%), drag method, (100%), and push method (93%). Compared the palliative NGT groups to NPO group, NGT groups had significantly increased in enteral caloric intake (p < 0.05), serum albumin level (p < 0.01), decreased the length of hospital stay (p = 0.01), but increased the survival time (p = 0.01). Conclusion: Patients who tolerated the NGT placement will able to receive desired caloric intake, decrease length of hospital stay, and increase the overall survival time.

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Endoscopic placement of enteral feeding tubes

Cited by 20 publications

References 71 publications

Enteral feeding in neurological disorders

Enteral feeding in neurological disorders

Bedside placement of small-bowel feeding tube in Intensive Care Unit for enteral nutrition

Palliative nasogastric tube placement for patients with advanced esophageal cancer with nearly total obstruction: Consider the feasibility and acceptability considerations

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