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A randomized trial of endoscopic and fluoroscopic placement of postpyloric feeding tubes in critically ill patients.
JPEN J Parenter Enteral Nutr. 2004 May-Jun; 28(3):154-7.JJ

Abstract

BACKGROUND

Early postpyloric feeding is considered the accepted method of nutrition support in critically ill patients. Endoscopic and fluoroscopic techniques are associated with the highest percentage of successful placement. The purpose of this study was to compare endoscopic vs fluoroscopic placement of postpyloric feeding tubes in critically ill patients.

METHODS

This is a randomized prospective clinical trial. Forty-three patients were randomized to receive feeding tubes by endoscopic or fluoroscopic technique. All procedures were performed at the bedside in the critical care unit. A soft small-bore nonweighted feeding tube was used in all cases. Successful placement was confirmed by either an abdominal x-ray for endoscopic technique or a fluoroscopic radiograph for fluoroscopic technique.

RESULTS

Postpyloric feeding tubes were successfully placed in 41 of 43 patients (95%). The success rate using endoscopic technique was 96% (25 of 26), whereas the rate using fluoroscopy was 94% (16 of 17). The average time of successful placement was 15.2 +/- 2.9 (mean +/- SEM) minutes for endoscopic placement and 16.2 +/- 3.2 minutes for fluoroscopic placement, which was not statistically significant (p > .05).

CONCLUSIONS

Endoscopic and fluoroscopic placement of postpyloric feeding tubes can safely and accurately be performed at the bedside in critically ill patients. Our results showed no significant difference in the success rate or time of placement between endoscopic vs fluoroscopic placement of postpyloric feeding tubes.

Authors+Show Affiliations

Spectrum Health Department of Surgical Critical Care, Michigan State University, 515 Michigan Street NE, Suite 102, Grand Rapids, MI 49503, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

15141407

Citation

Foote, James A., et al. "A Randomized Trial of Endoscopic and Fluoroscopic Placement of Postpyloric Feeding Tubes in Critically Ill Patients." JPEN. Journal of Parenteral and Enteral Nutrition, vol. 28, no. 3, 2004, pp. 154-7.
Foote JA, Kemmeter PR, Prichard PA, et al. A randomized trial of endoscopic and fluoroscopic placement of postpyloric feeding tubes in critically ill patients. JPEN J Parenter Enteral Nutr. 2004;28(3):154-7.
Foote, J. A., Kemmeter, P. R., Prichard, P. A., Baker, R. S., Paauw, J. D., Gawel, J. C., & Davis, A. T. (2004). A randomized trial of endoscopic and fluoroscopic placement of postpyloric feeding tubes in critically ill patients. JPEN. Journal of Parenteral and Enteral Nutrition, 28(3), 154-7.
Foote JA, et al. A Randomized Trial of Endoscopic and Fluoroscopic Placement of Postpyloric Feeding Tubes in Critically Ill Patients. JPEN J Parenter Enteral Nutr. 2004 May-Jun;28(3):154-7. PubMed PMID: 15141407.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A randomized trial of endoscopic and fluoroscopic placement of postpyloric feeding tubes in critically ill patients. AU - Foote,James A, AU - Kemmeter,Paul R, AU - Prichard,Pablo A, AU - Baker,Randal S, AU - Paauw,James D, AU - Gawel,Jeffery C, AU - Davis,Alan T, PY - 2004/5/15/pubmed PY - 2005/3/25/medline PY - 2004/5/15/entrez SP - 154 EP - 7 JF - JPEN. Journal of parenteral and enteral nutrition JO - JPEN J Parenter Enteral Nutr VL - 28 IS - 3 N2 - BACKGROUND: Early postpyloric feeding is considered the accepted method of nutrition support in critically ill patients. Endoscopic and fluoroscopic techniques are associated with the highest percentage of successful placement. The purpose of this study was to compare endoscopic vs fluoroscopic placement of postpyloric feeding tubes in critically ill patients. METHODS: This is a randomized prospective clinical trial. Forty-three patients were randomized to receive feeding tubes by endoscopic or fluoroscopic technique. All procedures were performed at the bedside in the critical care unit. A soft small-bore nonweighted feeding tube was used in all cases. Successful placement was confirmed by either an abdominal x-ray for endoscopic technique or a fluoroscopic radiograph for fluoroscopic technique. RESULTS: Postpyloric feeding tubes were successfully placed in 41 of 43 patients (95%). The success rate using endoscopic technique was 96% (25 of 26), whereas the rate using fluoroscopy was 94% (16 of 17). The average time of successful placement was 15.2 +/- 2.9 (mean +/- SEM) minutes for endoscopic placement and 16.2 +/- 3.2 minutes for fluoroscopic placement, which was not statistically significant (p > .05). CONCLUSIONS: Endoscopic and fluoroscopic placement of postpyloric feeding tubes can safely and accurately be performed at the bedside in critically ill patients. Our results showed no significant difference in the success rate or time of placement between endoscopic vs fluoroscopic placement of postpyloric feeding tubes. SN - 0148-6071 UR - https://www.unboundmedicine.com/medline/citation/15141407/A_randomized_trial_of_endoscopic_and_fluoroscopic_placement_of_postpyloric_feeding_tubes_in_critically_ill_patients_ L2 - https://doi.org/10.1177/0148607104028003154 DB - PRIME DP - Unbound Medicine ER -