Original ArticlesTransnasal versus transoral endoscopy for the placement of nasoenteral feeding tubes in critically ill patients☆,☆☆
Section snippets
Patients and methods
Over a 13-month period, patients referred for endoscopic placement of a nasoenteral feeding tube were assigned consecutive numbers. The feeding tubes were placed using the transnasal or the transoral technique according to a randomization list that was prepared by a physician not directly involved in the study. All patients were critically ill with adequate cardiopulmonary monitoring in various intensive care units (internal medicine, general surgery, trauma surgery, thoracic surgery, and
Results
A total of 160 nasoenteric feeding tubes were placed in 145 patients (82 men, 63 women) by the transnasal (n = 80) or transoral (n = 80) technique (Table 1).The two groups were similar with regard to age (median 57.0 years for transnasal group vs. 60.0 years for transoral group) and gender, type of feeding tube used, presence of baseline sedation (78% vs. 79%, p = 1.0) and relaxant (13% vs. 18%, p = 0.50) medication, as well as presence of abnormal findings at endoscopy (36% vs. 39%, p = 0.87)
Discussion
The present study demonstrated that transnasal endoscopy is an appropriate method with significant advantages compared with the transoral route for the placement of nasoenteral feeding tubes in critically ill patients.
There was a substantial benefit with the transnasal technique with regard to the time required for the procedure. The shorter time is explained mainly by eliminating the cumbersome guidewire transfer with the transnasal approach. The mouth-to-nose wire transfer caused technical
Disclosure statement
The authors have no financial or other interest in the manufacture or distribution of any device mentioned in the manuscript.
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2011, Digestive and Liver DiseaseCitation Excerpt :Endoscopic placement ensures placement of a feeding tube under direct vision and can be performed at the bedside [8,9]. In comparison to the traditional transoral endoscopic method, the transnasal technique is equally effective, but less time consuming [10]. The procedure time of transnasal endoscopy, which has now almost completely replaced the transoral method, is also significantly shorter than fluoroscopic feeding tube placement [11].
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2008, Gastroenterologia y Hepatologia
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Reprint requests: Daniel Külling, MD, Division of Gastroenterology, Department of Internal Medicine, University Hospital of Zürich, Rämistr. 100, CH-8091 Zürich, Switzerland; e-mail: [email protected].
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Gastrointest Endosc 2000;52:506-10.