Prospective evaluation of novel system for jejunal feeding.
BACKGROUND
Enteral nutrition should be restored immediately after trauma, acute lesion, or surgical intervention. Nutrition through nasogastric tubes is often not feasible in patients in the posttraumatic state in medical intensive care units because of recurrent episodes of gastroesophageal reflux and subsequent aspiration due to gastric paresis. Placement of nasojejunal tubes with available techniques is unreliable.


METHODS
We developed a new combined catheter system for jejunal delivery and simultaneous drainage of gastric juice (Cath-in-Cath, PreOx-RS, Germany).


CONCLUSIONS
In this article, this new tube system is presented. The safety and excellent efficacy of the novel system for enteral nutrition therapy are reported in the first series of patients worldwide.
Hauenschild
A
A
Department for Internal Medicine, University Hospital Giessen, Rodthohl 6, 35392 Giessen, Germany. annette.hauenschild@innere.med.uni-giessen.de
Schnell-Kretschmer
H
H
Teichmann
J
J
Hardt
P D
PD
Santosa
B
B
Reiter
D
D
Brendel
M
M
Vollerthun
M
M
Scheu
R
R
Klör
H U
HU
D004750:Enteral Nutrition / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D020699:Gastroscopes; D005858:Germany; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000295:instrumentation / Q000379:methods*; D007583:Jejunum; D018529:Nutritional Support; D011446:Prospective Studies