Title: Endoscopically assisted nasojejunal feeding tube placing in patients with upper gastrointestinal caner perioperatively: comparison of different approaches
Abstract: Objective: Nutrional support is important and necessary for patients who cannot maintain their needs with oral intake. Enteral nutrition is the preferred means of nutrient delivery especially for those with tumors of upper digestive tract. Nasoenteric feeding tubes are common used,and most of the tubes are placed by endoscopic devices clinically. Wesummarized the experience of placing nasal jejunum nutrition tube,and compared the difference of placing the tube using transnasal gastroscope or normal gastroscope. Methods: 127 patients who needed establishing enteral nutrition access were randomly separated into 3 groups. In one group,tubes were placed with the assistance of transnasal gastroscope and guide wire,while in the other 2 groups tubes were placed using normal gastroscope with forceps,with or without guide wires. Results: 43 of 44 cases were successfully placed nasal jejunum nutrition tube by transnasal gastroscope,success rate was 97. 7%,the average time was(10. 16 ± 5. 31) min,and no perforation and hemorrhage occurred. The patients were well tolerated during the process. The time of the normal gastroscope group was(16 ± 5. 11)min and(20. 95 ± 3. 31)min,and the success rate was 97. 5%and 97. 6%,with or without guide wires separately. Conclusion: It is a reliable,convenient and welltolerated method to place nasal jejunum nutrition tube by transnasal gastroscope.
Publication Year: 2014
Publication Date: 2014-01-01
Language: en
Type: article
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