Evaluation of a new method for placing nasojejunal feeding tubes.
OBJECTIVE
To compare fluoroscopic, endoscopic and guide wire assistance with ultraslim gastroscopy for placement of nasojejunal feeding tubes.


METHODS
The information regarding nasojejunal tube placement procedures was retrieved using the gastrointestinal tract database at Tongji Hospital affiliated to Tongji Medical College. Records from 81 patients who underwent nasojejunal tubes placement by different techniques between 2004 and 2011 were reviewed for procedure success and tube-related outcomes.


RESULTS
Nasojejunal feeding tubes were successfully placed in 78 (96.3%) of 81 patients. The success rate by fluoroscopy was 92% (23 of 25), by endoscopic technique 96.3% (26 of 27), and by guide wire assistance (whether via transnasal or transoral insertion) 100% (23/23, 6/6). The average time for successful placement was 14.9 ± 2.9 min for fluoroscopic placement, 14.8 ± 4.9 min for endoscopic placement, 11.1 ± 2.2 min for guide wire assistance with transnasal gastroscopic placement, and 14.7 ± 1.2 min for transoral gastroscopic placement. Statistically, the duration for the third method was significantly different (P < 0.05) compared with the other three methods. Transnasal placement over a guidewire was significantly faster (P < 0.05) than any of the other approaches.


CONCLUSIONS
Guide wire assistance with transnasal insertion of nasojejunal feeding tubes represents a safe, quick and effective method for providing enteral nutrition.
Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China.
Hua
H
Qin
Xiao-Yun
XY
Lu
Qiu
Q
Zhao
De-Min
DM
Li
Pei-Yuan
PY
Li
Mei
M
Liu
Qi
Q
Zhou
Liang
L
Zhu
Hui-Fang
HF
Pang
Hui-Zhen
HZ
Zhao
D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods; D004750:Enteral Nutrition / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D005471:Fluoroscopy / Q000379:methods; D005773:Gastroscopy / Q000379:methods; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000295:instrumentation* / Q000379:methods; D007583:Jejunum / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome