Naso-intestinal tube is more effective in treating postoperative ileus than naso-gastric tube in elderly colorectal cancer patients

Shi, Yang; Zhang, Xi Peng; Qin, Hai; Yu, Yong

doi:10.1007/s00384-017-2760-5

Cited by 9 publications

(5 citation statements)

References 9 publications

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“…Nomograms predicting survival of patients with unresectable or metastatic GC were well established[16]. To date, various risk indicators have been suggested to be associated with an increased risk of PPOI[17-20]. However, to our knowledge, few prediction models of a nomogram were used to estimate the risk of PPOI after abdominal surgery, especially in patients who underwent radical gastrectomy.…”

Section: Introductionmentioning

confidence: 99%

Nomogram to predict prolonged postoperative ileus after gastrectomy in gastric cancer

Liang

Zhang

Cui

et al. 2019

WJG

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BACKGROUNDProlonged postoperative ileus (PPOI) is one of the common complications in gastric cancer patients who underwent gastrectomy. Evidence on the predictors of PPOI after gastrectomy is limited and few prediction models of nomogram are used to estimate the risk of PPOI. We hypothesized that a predictive nomogram can be used for clinical risk estimation of PPOI in gastric cancer patients.AIMTo investigate the risk factors for PPOI and establish a nomogram for clinical risk estimation.METHODSBetween June 2016 and March 2017, the data of 162 patients with gastrectomy were obtained from a prospective and observational registry database. Clinical data of patients who fulfilled the criteria were obtained. Univariate and multivariable logistic regression models were performed to detect the relationship between variables and PPOI. A nomogram for PPOI was developed and verified by bootstrap resampling. The calibration curve was employed to detect the concentricity between the model probability curve and ideal curve. The clinical usefulness of our model was evaluated using the net benefit curve.RESULTSThis study analyzed 14 potential variables of PPOI in 162 gastric cancer patients who underwent gastrectomy. The incidence of PPOI was 19.75% in patients with gastrectomy. Age older than 60 years, open surgery, advanced stage (III–IV), and postoperative use of opioid analgesic were independent risk factors for PPOI. We developed a simple and easy-to-use prediction nomogram of PPOI after gastrectomy. This nomogram had an excellent diagnostic performance [area under the curve (AUC) = 0.836, sensitivity = 84.4%, and specificity = 75.4%]. This nomogram was further validated by bootstrapping for 500 repetitions. The AUC of the bootstrap model was 0.832 (95%CI: 0.741–0.924). This model showed a good fitting and calibration and positive net benefits in decision curve analysis.CONCLUSIONWe have developed a prediction nomogram of PPOI for gastric cancer. This novel nomogram might serve as an essential early warning sign of PPOI in gastric cancer patients.

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Section: Introductionmentioning

confidence: 99%

Nomogram to predict prolonged postoperative ileus after gastrectomy in gastric cancer

Liang

Zhang

Cui

et al. 2019

WJG

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“…Other methods often lack sensitivity and accuracy due to various influencing factors. [22][23][24] Although innovations and improvements have been made in positioning methodology, such as the injection of methylene blue, gastric electrode monitoring, and magnetic navigation, these methods are subject to strong subjectivity and can be affected by gastrointestinal function. [25][26][27] While the blind insertion method does not require specialized instruments, the human body's complex anatomical structure lowers the success rate of catheterization, lengthens the time required for the tube to pass through the pylorus, and necessitates multiple X-ray exams to determine the catheter tip's position.…”

Section: Discussionmentioning

confidence: 99%

Application of B-ultrasound for localization and its impact on first-attempt success rates of nasogastric tube insertion in critically ill patients

Gao,

Luo,

Deng

et al. 2023

Medicine

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The objective of this study is to explore the application effect of B-ultrasound positioning in assisting nasointestinal tube implantation in critically ill patients. This study is a retrospective study. In this study, 90 cases of severe patients with nasointestinal tube implantation were included. According to the different ways of nasointestinal tube insertion received by patients, 61 patients with conventional blind insertion methods were included in the blind insertion group, and 29 patients with conventional methods and B-ultrasound assisted positioning were included in the B-ultrasound positioning group. The general clinical data, success rate of catheterization, catheterization time, pyloric passage rate, and target nutritional value time of the 2 groups were compared. The changes of the 2 groups after catheterization were compared by SOFA and APACHE II. The contents of albumin and lymphocyte count were compared between the 2 groups before and after catheterization. The time of target nutritional value of the patients of the B-ultrasound positioning group was markedly decreased comparing with the patients of the blind insertion group. The index of catheterization time of the patients between the blind insertion group and B-ultrasound positioning group had no obvious contrast. The APACHE II score and SOFA score of the patients of the B-ultrasound positioning group were obviously lower than the blind insertion group. The contents of lymphocyte count of the patients of the B-ultrasound positioning group were markedly increased comparing with the patients of the blind insertion group after catheterization, but the contents of albumin content had no obvious change. The scores of respiratory system, circulatory system, nervous system, and urinary system in the B-ultrasound positioning group were significantly higher than those in the blind insertion group, while the COPT scores were significantly lower than those in the blind insertion group. B-ultrasound assisted nasointestinal tube implantation is well tolerated in critically ill patients, and can effectively ameliorate the nutritional status and of the ill patients.

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“…In our patient, early recognition of hoarseness during NST rounds might have averted life-threatening NGTS. Nasointestinal ileus tube placement is an effective treatment for ileus [ 15 ]. Ideally, a narrower tube diameter should be chosen to reduce the pressure against the organization [ 1 ].…”

Section: Discussion/conclusionmentioning

confidence: 99%

Nasogastric Tube Syndrome: A Severe Complication of Nasointestinal Ileus Tube

Taira

Koyama

Morisaki

et al. 2023

Case Rep Gastroenterol

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Nasogastric tube syndrome (NGTS) induced by a nasointestinal ileus tube is an uncommon but potentially life-threatening complication. NGTS often becomes serious and progresses to acute upper airway obstruction caused by bilateral vocal cord paralysis or laryngeal infection. Early detection and proper treatment of NGTS are necessary. We describe the case of a 78-year-old patient with this syndrome induced by a nasointestinal ileus tube. At administration, ileus was suspected based on physical examination and thoracoabdominal X-ray findings. A nasointestinal ileus tube was placed through the left nasal cavity. Three days after tube placement, hoarseness and wheezing were found during nutrition support team rounds. Upper airway obstruction was suspected and evaluated immediately with flexible laryngoscopy by an otolaryngologist. The nasointestinal ileus tube was removed. The symptoms decreased with prompt proper management. Immediate removal of the tube and early recognition of symptoms are the first steps in the treatment for this syndrome, in addition to the initiation of steroid, proton pump inhibitor, and antibiotic therapy. The cause of NGTS is thought to be continuous pressure on the hypopharynx and cervical esophagus. NGTS should be considered in patients with either nasogastric or nasointestinal ileus tubes. Early diagnosis and proper management of NGTS are important.

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Naso-intestinal tube is more effective in treating postoperative ileus than naso-gastric tube in elderly colorectal cancer patients

Abstract: Naso-intestinal tube is effective in treating POI and shows advantage over conventional naso-gastric tube insertion.

Cited by 9 publications

References 9 publications

Nomogram to predict prolonged postoperative ileus after gastrectomy in gastric cancer

Nomogram to predict prolonged postoperative ileus after gastrectomy in gastric cancer

Application of B-ultrasound for localization and its impact on first-attempt success rates of nasogastric tube insertion in critically ill patients

Nasogastric Tube Syndrome: A Severe Complication of Nasointestinal Ileus Tube

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