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Endoscopic Nasoenteral Feeding Tube Fixation with Hemoclip Reduces Tube Dislodgement
Background/Aims Spontaneous retrograde migration of nasoenteral feeding tubes is common in clinical practice. The aim of the present study was to evaluate the effectiveness of nasoenteral feeding tube tip fixation with hemoclips to prevent tube dislodgement. Methods We retrospectively reviewed patie...
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| Published in: | Digestive diseases and sciences 2020, Vol.65 (1), p.225-231 |
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| container_end_page | 231 |
| container_issue | 1 |
| container_start_page | 225 |
| container_title | Digestive diseases and sciences |
| container_volume | 65 |
| creator | Han, Jisoo Na, Hee Kyong Ahn, Ji Yong Lee, Jeong Hoon Kim, Do Hoon Jung, Kee Wook Choi, Kee Don Song, Ho June Lee, Gin Hyug Jung, Hwoon-Yong |
| description | Background/Aims
Spontaneous retrograde migration of nasoenteral feeding tubes is common in clinical practice. The aim of the present study was to evaluate the effectiveness of nasoenteral feeding tube tip fixation with hemoclips to prevent tube dislodgement.
Methods
We retrospectively reviewed patients who underwent insertion of an endoscopic nasoenteral feeding tube with or without tube tip fixation with hemoclips at the Asan Medical Center in Korea from January 2016 to December 2017. We compared the incidence of tube dislodgment and procedure-related complications between the two groups.
Results
Of the total 225 procedures, 72 were performed using the clip-assisted method, while 153 were performed using the standard non-clip-assisted method. Tube dislodgement occurred in two (2.8%) cases in the clipping group and in 26 (17.0%) in the non-clipping group (
p
= 0.003). Non-clipping group had a sevenfold higher risk of tube dislodgement compared to clipping group after adjustments in multivariable logistic regression (adjusted OR 7.97, 95% CI 1.82–35.00). The procedure time was not significantly different between the two groups (17.6 ± 8.5 min in the clipping group vs. 17.8 ± 9.4 min in the non-clipping group,
p
= 0.872). In addition, procedure-related complications, such as bleeding, aspiration pneumonia, Mallory–Weiss tear, ileus, and tube obstruction, were not different between the two groups. Achieving target calorie intake took 10.4 ± 10.5 days in the clipping group and 7.9 ± 7.9 days in the non-clipping group (
p
= 0.293).
Conclusion
Clip-assisted fixation of nasoenteral feeding tube was effective in preventing tube dislodgement. |
| doi_str_mv | 10.1007/s10620-019-05741-0 |
| format | article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2267746912</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A712935464</galeid><sourcerecordid>A712935464</sourcerecordid><originalsourceid>FETCH-LOGICAL-c393t-a12a9fa3f23254a74834498ce9e2f27e7310cd65f592da899f1c29452076bc5a3</originalsourceid><addsrcrecordid>eNp9kU1rFTEUhoMo9lr9Ay5kwI2bqfnOZFlqbyuUFsp1HXIzJ9eUmeSazFD990079auIZJGQPO_LCQ9Cbwk-Ihirj4VgSXGLiW6xUJy0-BlaEaFYS4XsnqMVJrKeCZEH6FUpNxhjrYh8iQ4YYVJ1Sq_Q5jT2qbi0D665tCVBnCDboVkD9CHums28hWYdvtsppNjchulrcw5jckPYN9fQzw7KwnwKZUj9Dsba8Bq98HYo8OZxP0Rf1qebk_P24urs88nxReuYZlNrCbXaW-Ypo4JbxTvGue4caKCeKlCMYNdL4YWmve209sRRzQXFSm6dsOwQfVh69zl9m6FMZgzFwTDYCGkuhlKpFJea0Iq-f4LepDnHOt0DRTvRiT-onR3AhOjTlK27LzXHilDNBJe8Ukf_oOrqYQwuRfCh3v8VoEvA5VRKBm_2OYw2_zAEm3uVZlFpqkrzoNLgGnr3OPG8HaH_FfnprgJsAUp9ijvIv7_0n9o7r3SmQQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2267285852</pqid></control><display><type>article</type><title>Endoscopic Nasoenteral Feeding Tube Fixation with Hemoclip Reduces Tube Dislodgement</title><source>Springer Nature</source><creator>Han, Jisoo ; Na, Hee Kyong ; Ahn, Ji Yong ; Lee, Jeong Hoon ; Kim, Do Hoon ; Jung, Kee Wook ; Choi, Kee Don ; Song, Ho June ; Lee, Gin Hyug ; Jung, Hwoon-Yong</creator><creatorcontrib>Han, Jisoo ; Na, Hee Kyong ; Ahn, Ji Yong ; Lee, Jeong Hoon ; Kim, Do Hoon ; Jung, Kee Wook ; Choi, Kee Don ; Song, Ho June ; Lee, Gin Hyug ; Jung, Hwoon-Yong</creatorcontrib><description>Background/Aims
Spontaneous retrograde migration of nasoenteral feeding tubes is common in clinical practice. The aim of the present study was to evaluate the effectiveness of nasoenteral feeding tube tip fixation with hemoclips to prevent tube dislodgement.
Methods
We retrospectively reviewed patients who underwent insertion of an endoscopic nasoenteral feeding tube with or without tube tip fixation with hemoclips at the Asan Medical Center in Korea from January 2016 to December 2017. We compared the incidence of tube dislodgment and procedure-related complications between the two groups.
Results
Of the total 225 procedures, 72 were performed using the clip-assisted method, while 153 were performed using the standard non-clip-assisted method. Tube dislodgement occurred in two (2.8%) cases in the clipping group and in 26 (17.0%) in the non-clipping group (
p
= 0.003). Non-clipping group had a sevenfold higher risk of tube dislodgement compared to clipping group after adjustments in multivariable logistic regression (adjusted OR 7.97, 95% CI 1.82–35.00). The procedure time was not significantly different between the two groups (17.6 ± 8.5 min in the clipping group vs. 17.8 ± 9.4 min in the non-clipping group,
p
= 0.872). In addition, procedure-related complications, such as bleeding, aspiration pneumonia, Mallory–Weiss tear, ileus, and tube obstruction, were not different between the two groups. Achieving target calorie intake took 10.4 ± 10.5 days in the clipping group and 7.9 ± 7.9 days in the non-clipping group (
p
= 0.293).
Conclusion
Clip-assisted fixation of nasoenteral feeding tube was effective in preventing tube dislodgement.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-019-05741-0</identifier><identifier>PMID: 31367879</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Biochemistry ; Clinical medicine ; Comparative analysis ; Endoscopy ; Enteral nutrition ; Gastroenterology ; Hepatology ; Medical centers ; Medical colleges ; Medicine ; Medicine & Public Health ; Motility ; Nutrition ; Oncology ; Original Article ; Parenteral nutrition ; Performance evaluation ; Right to die ; Stomach ; Transplant Surgery</subject><ispartof>Digestive diseases and sciences, 2020, Vol.65 (1), p.225-231</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>COPYRIGHT 2020 Springer</rights><rights>Digestive Diseases and Sciences is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c393t-a12a9fa3f23254a74834498ce9e2f27e7310cd65f592da899f1c29452076bc5a3</cites><orcidid>0000-0002-0030-3744</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31367879$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Han, Jisoo</creatorcontrib><creatorcontrib>Na, Hee Kyong</creatorcontrib><creatorcontrib>Ahn, Ji Yong</creatorcontrib><creatorcontrib>Lee, Jeong Hoon</creatorcontrib><creatorcontrib>Kim, Do Hoon</creatorcontrib><creatorcontrib>Jung, Kee Wook</creatorcontrib><creatorcontrib>Choi, Kee Don</creatorcontrib><creatorcontrib>Song, Ho June</creatorcontrib><creatorcontrib>Lee, Gin Hyug</creatorcontrib><creatorcontrib>Jung, Hwoon-Yong</creatorcontrib><title>Endoscopic Nasoenteral Feeding Tube Fixation with Hemoclip Reduces Tube Dislodgement</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><addtitle>Dig Dis Sci</addtitle><description>Background/Aims
Spontaneous retrograde migration of nasoenteral feeding tubes is common in clinical practice. The aim of the present study was to evaluate the effectiveness of nasoenteral feeding tube tip fixation with hemoclips to prevent tube dislodgement.
Methods
We retrospectively reviewed patients who underwent insertion of an endoscopic nasoenteral feeding tube with or without tube tip fixation with hemoclips at the Asan Medical Center in Korea from January 2016 to December 2017. We compared the incidence of tube dislodgment and procedure-related complications between the two groups.
Results
Of the total 225 procedures, 72 were performed using the clip-assisted method, while 153 were performed using the standard non-clip-assisted method. Tube dislodgement occurred in two (2.8%) cases in the clipping group and in 26 (17.0%) in the non-clipping group (
p
= 0.003). Non-clipping group had a sevenfold higher risk of tube dislodgement compared to clipping group after adjustments in multivariable logistic regression (adjusted OR 7.97, 95% CI 1.82–35.00). The procedure time was not significantly different between the two groups (17.6 ± 8.5 min in the clipping group vs. 17.8 ± 9.4 min in the non-clipping group,
p
= 0.872). In addition, procedure-related complications, such as bleeding, aspiration pneumonia, Mallory–Weiss tear, ileus, and tube obstruction, were not different between the two groups. Achieving target calorie intake took 10.4 ± 10.5 days in the clipping group and 7.9 ± 7.9 days in the non-clipping group (
p
= 0.293).
Conclusion
Clip-assisted fixation of nasoenteral feeding tube was effective in preventing tube dislodgement.</description><subject>Biochemistry</subject><subject>Clinical medicine</subject><subject>Comparative analysis</subject><subject>Endoscopy</subject><subject>Enteral nutrition</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Medical centers</subject><subject>Medical colleges</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Motility</subject><subject>Nutrition</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Parenteral nutrition</subject><subject>Performance evaluation</subject><subject>Right to die</subject><subject>Stomach</subject><subject>Transplant Surgery</subject><issn>0163-2116</issn><issn>1573-2568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kU1rFTEUhoMo9lr9Ay5kwI2bqfnOZFlqbyuUFsp1HXIzJ9eUmeSazFD990079auIZJGQPO_LCQ9Cbwk-Ihirj4VgSXGLiW6xUJy0-BlaEaFYS4XsnqMVJrKeCZEH6FUpNxhjrYh8iQ4YYVJ1Sq_Q5jT2qbi0D665tCVBnCDboVkD9CHums28hWYdvtsppNjchulrcw5jckPYN9fQzw7KwnwKZUj9Dsba8Bq98HYo8OZxP0Rf1qebk_P24urs88nxReuYZlNrCbXaW-Ypo4JbxTvGue4caKCeKlCMYNdL4YWmve209sRRzQXFSm6dsOwQfVh69zl9m6FMZgzFwTDYCGkuhlKpFJea0Iq-f4LepDnHOt0DRTvRiT-onR3AhOjTlK27LzXHilDNBJe8Ukf_oOrqYQwuRfCh3v8VoEvA5VRKBm_2OYw2_zAEm3uVZlFpqkrzoNLgGnr3OPG8HaH_FfnprgJsAUp9ijvIv7_0n9o7r3SmQQ</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Han, Jisoo</creator><creator>Na, Hee Kyong</creator><creator>Ahn, Ji Yong</creator><creator>Lee, Jeong Hoon</creator><creator>Kim, Do Hoon</creator><creator>Jung, Kee Wook</creator><creator>Choi, Kee Don</creator><creator>Song, Ho June</creator><creator>Lee, Gin Hyug</creator><creator>Jung, Hwoon-Yong</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0030-3744</orcidid></search><sort><creationdate>2020</creationdate><title>Endoscopic Nasoenteral Feeding Tube Fixation with Hemoclip Reduces Tube Dislodgement</title><author>Han, Jisoo ; Na, Hee Kyong ; Ahn, Ji Yong ; Lee, Jeong Hoon ; Kim, Do Hoon ; Jung, Kee Wook ; Choi, Kee Don ; Song, Ho June ; Lee, Gin Hyug ; Jung, Hwoon-Yong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-a12a9fa3f23254a74834498ce9e2f27e7310cd65f592da899f1c29452076bc5a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Biochemistry</topic><topic>Clinical medicine</topic><topic>Comparative analysis</topic><topic>Endoscopy</topic><topic>Enteral nutrition</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Medical centers</topic><topic>Medical colleges</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Motility</topic><topic>Nutrition</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Parenteral nutrition</topic><topic>Performance evaluation</topic><topic>Right to die</topic><topic>Stomach</topic><topic>Transplant Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Han, Jisoo</creatorcontrib><creatorcontrib>Na, Hee Kyong</creatorcontrib><creatorcontrib>Ahn, Ji Yong</creatorcontrib><creatorcontrib>Lee, Jeong Hoon</creatorcontrib><creatorcontrib>Kim, Do Hoon</creatorcontrib><creatorcontrib>Jung, Kee Wook</creatorcontrib><creatorcontrib>Choi, Kee Don</creatorcontrib><creatorcontrib>Song, Ho June</creatorcontrib><creatorcontrib>Lee, Gin Hyug</creatorcontrib><creatorcontrib>Jung, Hwoon-Yong</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive diseases and sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Han, Jisoo</au><au>Na, Hee Kyong</au><au>Ahn, Ji Yong</au><au>Lee, Jeong Hoon</au><au>Kim, Do Hoon</au><au>Jung, Kee Wook</au><au>Choi, Kee Don</au><au>Song, Ho June</au><au>Lee, Gin Hyug</au><au>Jung, Hwoon-Yong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic Nasoenteral Feeding Tube Fixation with Hemoclip Reduces Tube Dislodgement</atitle><jtitle>Digestive diseases and sciences</jtitle><stitle>Dig Dis Sci</stitle><addtitle>Dig Dis Sci</addtitle><date>2020</date><risdate>2020</risdate><volume>65</volume><issue>1</issue><spage>225</spage><epage>231</epage><pages>225-231</pages><issn>0163-2116</issn><eissn>1573-2568</eissn><abstract>Background/Aims
Spontaneous retrograde migration of nasoenteral feeding tubes is common in clinical practice. The aim of the present study was to evaluate the effectiveness of nasoenteral feeding tube tip fixation with hemoclips to prevent tube dislodgement.
Methods
We retrospectively reviewed patients who underwent insertion of an endoscopic nasoenteral feeding tube with or without tube tip fixation with hemoclips at the Asan Medical Center in Korea from January 2016 to December 2017. We compared the incidence of tube dislodgment and procedure-related complications between the two groups.
Results
Of the total 225 procedures, 72 were performed using the clip-assisted method, while 153 were performed using the standard non-clip-assisted method. Tube dislodgement occurred in two (2.8%) cases in the clipping group and in 26 (17.0%) in the non-clipping group (
p
= 0.003). Non-clipping group had a sevenfold higher risk of tube dislodgement compared to clipping group after adjustments in multivariable logistic regression (adjusted OR 7.97, 95% CI 1.82–35.00). The procedure time was not significantly different between the two groups (17.6 ± 8.5 min in the clipping group vs. 17.8 ± 9.4 min in the non-clipping group,
p
= 0.872). In addition, procedure-related complications, such as bleeding, aspiration pneumonia, Mallory–Weiss tear, ileus, and tube obstruction, were not different between the two groups. Achieving target calorie intake took 10.4 ± 10.5 days in the clipping group and 7.9 ± 7.9 days in the non-clipping group (
p
= 0.293).
Conclusion
Clip-assisted fixation of nasoenteral feeding tube was effective in preventing tube dislodgement.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31367879</pmid><doi>10.1007/s10620-019-05741-0</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0030-3744</orcidid></addata></record> |
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| source | Springer Nature |
| subjects | Biochemistry Clinical medicine Comparative analysis Endoscopy Enteral nutrition Gastroenterology Hepatology Medical centers Medical colleges Medicine Medicine & Public Health Motility Nutrition Oncology Original Article Parenteral nutrition Performance evaluation Right to die Stomach Transplant Surgery |
| title | Endoscopic Nasoenteral Feeding Tube Fixation with Hemoclip Reduces Tube Dislodgement |
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