| Spontaneous transpyloric migration of a ballooned nasojejunal tube: a randomized controlled trial. | |
| | |
MedLine Citation:
|
PMID: 10885719 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Spontaneous transpyloric migration of a simple nasojejunal tube (NJT) can be expected in only one-third of insertions. Guidance of the tube by radiologic or endoscopic maneuvers is usually required. We believed that locating a 5-mL balloon near the tip of an NJT on which natural peristalsis could act would improve the rate of spontaneous transpyloric migration and facilitate small bowel propagation. METHODS: Thirty healthy volunteers were randomly assigned to have an inflated or noninflated, ballooned NJT fashioned from a modified 9F Hickman line catheter inserted. The pH of aspirates was measured hourly and the final location of the tube assessed by gastrografin contrast abdominal x-ray (AXR) at the end of 6 hours, at which time the tube was removed. RESULTS: After 6 hours, spontaneous transpyloric migration occurred in 86.6% of the ballooned and 66.6% of the nonballooned tubes. The final disposition of the ballooned tubes was: stomach, 2 (13.3%); duodenum, 1 (6.7%); and small bowel, 12 (80%). The final disposition of the nonballooned tubes was: stomach, 5 (33%), NS; duodenum, 9 (60%), p < .05; and small bowel, 1 (6.7%), p < .05. CONCLUSIONS: Ballooned NJT have a higher rate of spontaneous transpyloric migration and are significantly more likely to achieve an optimal small bowel location. |
| | |
Authors:
|
L D Cohen; D J Alexander; J Catto; R Mannion |
Related Documents
:
|
16260869 - Development of a special balloon occlusion device to prevent adverse events in high-ris... 12856859 - Effects of traditional chinese formulations on rat carotid artery injured by balloon en... 10931629 - Vasoseal after intra-aortic balloon pump removal: a pilot study. 12124969 - Patterns of late diameter change after balloon angioplasty of branch pulmonary artery s... 6726409 - Obliteration of experimental aneurysms in dogs with isobutyl-cyanoacrylate. 3439259 - Technology of current dilatation systems and methodological procedures. 1113539 - Hemodynamic characteristics of critical stenosis in canine coronary arteries. 17670469 - Off-pump treatment of coronary artery perforation after percutaneous intervention with ... 12116239 - Report of a child with aortic aneurysm, orofacial clefting, hemangioma, upper sternal d... |
Publication Detail:
|
Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: JPEN. Journal of parenteral and enteral nutrition Volume: 24 ISSN: 0148-6071 ISO Abbreviation: JPEN J Parenter Enteral Nutr Publication Date: 2000 Jul-Aug |
Date Detail:
|
Created Date: 2000-10-18 Completed Date: 2001-02-01 Revised Date: 2007-02-21 |
Medline Journal Info:
|
Nlm Unique ID: 7804134 Medline TA: JPEN J Parenter Enteral Nutr Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 240-3 Citation Subset: IM |
Affiliation:
|
Department of General Surgery, York District Hospital, United Kingdom. leon@global.net.au |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Endoscopy, Gastrointestinal Enteral Nutrition / instrumentation, methods* Female Humans Hydrogen-Ion Concentration Intubation, Gastrointestinal / adverse effects, instrumentation*, methods Male Middle Aged Pylorus Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Renal function and urinary excretion of electrolytes in patients receiving cyclic parenteral nutriti...
Next Document: Disposition of a mixed meal by conscious dogs after seven days of treatment with cyclosporine A and ...