Microendoscopic nasointestinal feeding tube placement in mechanically ventilated patients with gastroparesis.

Abstract:

:Gastroparesis often precludes gastric enteral nutrition (EN) in critically ill patients. Our aim was to determine the feasibility of bedside microendoscopic placement of nasointestinal feeding tubes to facilitate enteral nutrition in critically ill patients with poor gastric emptying. Nine mechanically ventilated patients with proven gastroparesis underwent 10 nasointestinal intubations using a microendoscope. These were compared with 35 patients who underwent pH sensor-guided intubation. Blind pH-guided intubation was faster than microendoscopic placement (21.4 +/- 10.7 v 32 +/- 11.6 min, P = 0.016) and cheaper in terms of disposables [87 pounds sterling (132 dollars) vs 222 pounds sterling (337 dollars) per intubation, P < 0.0001]. Depth of placement (postpyloric: 64% vs 50% including 32% vs 50% reaching duodenum part 3, 4, or jejunum, both NS) was similar. We conclude that microendoscopy failed to improve transpyloric intubation due to poor visualization of gastrointestinal anatomy and difficulty maneuvering the tube-endoscope ensemble. However, when successful, transpyloric placement was always deep, permitting immediate and full EN. To date, the technique and equipment is not superior to pH-guided placement and is not suitable for use by personnel with minimal training.

journal_name

Dig Dis Sci

authors

Taylor SJ,Przemioslo R,Manara AR

doi

10.1023/a:1022828507557

subject

Has Abstract

pub_date

2003-04-01 00:00:00

pages

713-6

issue

4

eissn

0163-2116

issn

1573-2568

journal_volume

48

pub_type

杂志文章
  • Double balloon enteroscopy detects small bowel mass lesions missed by capsule endoscopy.

    abstract:BACKGROUND:Small bowel mass lesions (SBML) are a relatively common cause of obscure gastrointestinal bleeding (OGIB). Their detection has been limited by the inability to endoscopically examine the entire small intestine. This has changed with the introduction of capsule endoscopy (CE) and double balloon enteroscopy (D...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s10620-007-0110-0

    authors: Ross A,Mehdizadeh S,Tokar J,Leighton JA,Kamal A,Chen A,Schembre D,Chen G,Binmoeller K,Kozarek R,Waxman I,Dye C,Gerson L,Harrison ME,Haluszka O,Lo S,Semrad C

    更新日期:2008-08-01 00:00:00

  • Radiographic evaluation of esophagus immediately after pneumatic dilatation for achalasia.

    abstract::Forty-one (98%) of 42 patients with achalasia of the esophagus had pneumatic dilatation performed successfully using the Brown-McHardy dilator. One to four dilatations (mean, 1.9) were done on each patient with inflation pressures of 8-15 psi (mean, 11.1 psi). Immediately after the procedure, all patients were examine...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/BF01297184

    authors: Ott DJ,Richter JE,Wu WC,Chen YM,Castell DO,Gelfand DW

    更新日期:1987-09-01 00:00:00

  • Constipation after rectopexy for rectal prolapse. Where is the obstruction?

    abstract::The pathophysiology of constipation after rectopexy remains unclear: acquired anorectal dysfunction or preoperative colonic state are, by turns, the supposed culprit. The aim of this prospective study was to characterize the colorectal motility abnormalities encountered after such a surgical procedure. Twelve patients...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/BF01296102

    authors: Siproudhis L,Ropert A,Gosselin A,Bretagne JF,Heresbach D,Raoul JL,Gosselin M

    更新日期:1993-10-01 00:00:00

  • Dose-response relationship and mechanism of action of Saccharomyces boulardii in castor oil-induced diarrhea in rats.

    abstract::For biotherapeutic agents, there is a lack of information on dose-response relationships and mechanism of action. The present study was designed to address these issues for Saccharomyces boulardii using the rat model of castor oil-induced diarrhea. A single dose of Saccharomyces boulardii at 12 x 10(10) CFU/kg of viab...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1023/a:1022801228938

    authors: Girard P,Pansart Y,Lorette I,Gillardin JM

    更新日期:2003-04-01 00:00:00

  • Vagal control of transpyloric flow and pyloric resistance.

    abstract::Vagal control of pyloric resistance was evaluated in anesthetised pigs by recording gastropyloroduodenal motility and transpyloric flow during emptying of a liquid nonnutrient meal. Vagotomy did not modify pyloric resistance or the characteristics of the flow pulses. Electrical stimulation of the distal stumps of cerv...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/BF02300364

    authors: Malbert CH,Mathis C,Laplace JP

    更新日期:1994-12-01 00:00:00

  • Control of irritable bowel syndrome with polyamine analogs: a structure-activity study.

    abstract::The evaluation of a group of polyamine analogs as agents to ameliorate diarrhea-predominant irritable bowel syndrome is described. Each compound was assessed when administered subcutaneously in a psychological stress-induced model of irritable bowel syndrome in rodents for its ability to reduce stool output in a dose-...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1023/a:1012750723644

    authors: Bergeron RJ,Wiegand J,Fannin TL

    更新日期:2001-12-01 00:00:00

  • Comparison of Risk Factors Between Small Intestinal Ulcerative and Vascular Lesions in Occult Versus Overt Obscure Gastrointestinal Bleeding.

    abstract:BACKGROUND AND AIMS:The detailed risk factors such as bleeding pattern, comorbidities, and medication usage of patients with obscure gastrointestinal bleeding (OGIB) are largely unknown. We evaluated the risk factors related to ulcerative and vascular lesions of the small intestine diagnosed by capsule endoscopy or bal...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/s10620-015-3904-5

    authors: Okamoto J,Tominaga K,Sugimori S,Kato K,Minamino H,Ominami M,Fukunaga S,Nagami Y,Kamata N,Yamagami H,Tanigawa T,Shiba M,Watanabe T,Fujiwara Y,Arakawa T

    更新日期:2016-02-01 00:00:00

  • Influence of spasmolytic analgesics on motility of sphincter of Oddi.

    abstract::The effects on the sphincter of Oddi of intravenous administration of dipyrone, 2.5 g; tramadol, 50 mg; indomethacin, 75 mg; N-butylscopolamine, 20 mg; and nitroglycerin, 1 mg, in comparison to physiological saline were assessed in a single-blind study in 36 patients hospitalized with upper abdominal pain. Basal sphin...

    journal_title:Digestive diseases and sciences

    pub_type: 临床试验,杂志文章

    doi:10.1007/BF02088751

    authors: Brandstätter G,Schinzel S,Wurzer H

    更新日期:1996-09-01 00:00:00

  • Mechanisms of bombesin on growth of gastrinoma (PT) in vivo.

    abstract::The growth of the human gastrinoma model (PT) in athymic nude mice is stimulated by bombesin (BBS), an amphibian peptide homologous to both human gastrin-releasing peptide (GRP) and neuromedin B (NMB). The mechanism is not known, and a potent and specific GRP-R antagonist BIM26226, which has low affinity for NMB-R, wa...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/BF02071398

    authors: Chu KU,Ishizuka J,Battey JF,Uchida T,Beauchamp RD,Townsend CM Jr,Thompson JC

    更新日期:1996-11-01 00:00:00

  • Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) for Treatment of Gastric Varices: Review and Meta-Analysis.

    abstract:AIM:To perform a systematic review and meta-analysis of the effectiveness and complications of BRTO for gastric varices. MATERIALS AND METHODS:A systematic review was performed to identify relevant articles. Inclusion criteria were applied to select studies with at least ten patients with acute bleeding or at-risk gas...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s10620-014-3485-8

    authors: Park JK,Saab S,Kee ST,Busuttil RW,Kim HJ,Durazo F,Cho SK,Lee EW

    更新日期:2015-06-01 00:00:00

  • Significance of endoscopy in asymptomatic premenopausal women with iron deficiency anemia.

    abstract::There is, currently, no consensus with regard to the role of endoscopy in the etiologic investigation of asymptomatic pemenopausal women suffering from iron deficiency anemia (IDA). We conducted a retrospective case-control study to evaluate the contribution of esophagogastroduodenoscopy (EGD) and colonoscopy to the e...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/s10620-005-9069-x

    authors: Park DI,Ryu SH,Oh SJ,Yoo TW,Kim HJ,Cho YK,Sung IK,Sohn CI,Jeon WK,Kim BI

    更新日期:2006-12-01 00:00:00

  • Breath ammonia measurement in Helicobacter pylori infection.

    abstract::Our aim was to define the utility of breath ammonia measurement in assessing Helicobacter pylori infection. Volunteers breathed into a device containing three fiberoptic NH3 sensors at baseline and after ingesting 300 mg of urea. Breath ammonia levels were compared to the [14C]urea breath test. Thirteen subjects were ...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1023/a:1020568227868

    authors: Kearney DJ,Hubbard T,Putnam D

    更新日期:2002-11-01 00:00:00

  • Higher tacrolimus blood concentration is related to hyperlipidemia in living donor liver transplantation recipients.

    abstract:BACKGROUND:The arrival of tacrolimus has drastically improved AALDLT recipients' survival. However, little data of tacrolimus have been reported concerning its effects on lipid metabolism for AALDLT recipients. AIM:Out aim was to investigate the relationship between tacrolimus blood concentration and lipid metabolism ...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/s10620-011-1817-5

    authors: Li HY,Li B,Wei YG,Yan LN,Wen TF,Zhao JC,Xu MQ,Wang WT,Ma YK,Yang JY

    更新日期:2012-01-01 00:00:00

  • Z-LLY-FMK attenuates intestinal apoptosis after bile duct ligation in rats.

    abstract::Apoptosis is an important process in a wide variety of different biological systems. In addition to caspases, recently, calpains, another family of proteases, have been found to be involved in apoptosis of many cell systems. This study is designed with the aims to evaluate the possible effect of Z-LLY-FMK (a calpain i...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/s10620-008-0652-9

    authors: Sheen-Chen SM,Ho HT,Eng HL

    更新日期:2009-11-01 00:00:00

  • Differences Between Familial and Sporadic Celiac Disease.

    abstract:BACKGROUND:It is not known if genetic background, characteristics at diagnosis, physical and psychological well-being, and adherence to a gluten-free diet are comparable between patients with familial or sporadic celiac disease. These issues were investigated in a follow-up study. METHODS:Altogether 1064 patients were...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/s10620-020-06490-1

    authors: Airaksinen L,Myllymäki L,Kaukinen K,Saavalainen P,Huhtala H,Lindfors K,Kurppa K

    更新日期:2020-07-23 00:00:00

  • Disseminated aseptic abscesses associated with Crohn's disease: a new entity?

    abstract::Our purpose is to describe seven cases of disseminated aseptic abscesses with regard to clinical, biological, radiological, and histological information, treatment, and outcome. Data were collected on seven Caucasian patients who had proven sterile deep abscesses diagnosed in French university hospitals. The onset of ...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1023/a:1018835228850

    authors: André M,Aumaître O,Papo T,Kemeny JL,Vital-Durand D,Rousset H,Ninet J,Pointud P,Charlotte F,Godeau B,Schmidt J,Marcheix JC,Piette JC

    更新日期:1998-02-01 00:00:00

  • Comparative study of plasma pancreatic polypeptide responses to food, secretin, and bombesin in normal subjects and in patients with chronic pancreatitis.

    abstract::Plasma pancreatic polypeptide (PP) responses to food, secretin (1 CU/kg, intravenous) and bombesin (60 pmol/kg/20 min intravenous) were compared in 14 normal subjects and in 17 patients with chronic pancreatitis and pancreatic insufficiency. Basal plasma PP concentrations were significantly higher in normal subjects t...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/BF01317049

    authors: Lamers CB,Diemel CM,Jansen JB

    更新日期:1984-02-01 00:00:00

  • Protective effect of comaruman, a pectin of cinquefoil Comarum palustre L., on acetic acid-induced colitis in mice.

    abstract::The efficacy of comaruman CP, a pectin of marsh cinquefoil Comarum palustre L., was investigated using a model of acetic acid-induced colitis in mice. Mice were administered comaruman CP orally 2 days prior to rectal injection of 5% acetic acid and examined for colonic damage 24 hr later. Colonic inflammation was char...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/s10620-005-9034-8

    authors: Popov SV,Ovodova RG,Markov PA,Nikitina IR,Ovodov YS

    更新日期:2006-09-01 00:00:00

  • Increased production of IL-4 by gut T-cell lines from patients with dermatitis herpetiformis compared to patients with isolated gluten-sensitive enteropathy.

    abstract::Dermatitis herpetiformis (DH) and isolated gluten-sensitive enteropathy (GSE) are gluten-sensitive diseases in which ingestion of dietary gluten results in the development of clinical disease. Patients with DH develop cutaneous IgA deposits and a severe skin disease, but rarely develop gastrointestinal symptoms. Patie...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1023/a:1005512513007

    authors: Hall RP 3rd,Smith AD,Streilein RD

    更新日期:2000-10-01 00:00:00

  • Severe Acute Hepatocellular Injury Attributed to OxyELITE Pro: A Case Series.

    abstract:BACKGROUND/AIM:Herbal and dietary supplement (HDS) hepatotoxicity is increasingly being reported in the USA. This case series describes the presenting clinical features and outcomes of seven patients with liver injury attributed to OxyELITE Pro enrolled in the Drug-Induced Liver Injury Network (DILIN) study. METHODS:T...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s10620-016-4181-7

    authors: Heidemann LA,Navarro VJ,Ahmad J,Hayashi PH,Stolz A,Kleiner DE,Fontana RJ

    更新日期:2016-09-01 00:00:00

  • Laparoscopic diagnosis of suspected liver neoplasms. Value of prior liver scans.

    abstract::To study the efficacy of standard blood tests of liver function (LFTs) and technetium-99m liver scan followed by laparoscopy in the diagnosis of solid malignant tumors of the liver, 100 consecutive patients were evaluated who had these tests because of clinical suspicion of liver neoplasm. Malignant liver tumors were ...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/BF01333702

    authors: Lightdale CJ,Winawer SJ,Kurtz RC,Knapper WH

    更新日期:1979-08-01 00:00:00

  • Spasm of gastric muscularis mucosae might play a key role in causing focal mucosal ischemia and ulceration. An experimental study in guinea pigs.

    abstract::While transilluminating guinea pig gastric wall, we noticed foci of irregular compression of submucosal veins and arteries, featuring parallel bands across arteries, with complete cessation of blood flow, mucosal pallor, and shrinkage of the area. Other features demonstrated that this was not due to artifactual pressu...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/BF01296065

    authors: Piasecki CK,Thrasivoulou C

    更新日期:1993-07-01 00:00:00

  • High prevalence of heartburn and low acid sensitivity in patients with idiopathic achalasia.

    abstract:BACKGROUND:Heartburn is frequently reported by patients with achalasia before treatment. However, the esophageal sensitivity to acid as a possible mediator of this symptom has not been previously evaluated. AIM:To evaluate the prevalence of gastroesophageal reflux symptoms and the esophageal sensitivity to acid perfus...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/s10620-010-1343-x

    authors: Ponce J,Ortiz V,Maroto N,Ponce M,Bustamante M,Garrigues V

    更新日期:2011-03-01 00:00:00

  • Hemodynamic characterization in experimental liver cirrhosis induced by thioacetamide administration.

    abstract::Systemic and splanchnic hemodynamics in experimental liver cirrhosis in rats induced by thioacetamide were evaluated by the radioactive microsphere method. Cardiac output and regional blood flow were measured in conscious and anesthetized control and cirrhotic rats. The conscious thioacetamide-treated rats had hyperdy...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/BF01299895

    authors: Hori N,Okanoue T,Sawa Y,Mori T,Kashima K

    更新日期:1993-12-01 00:00:00

  • Double-blind pilot study of mesalamine vs. placebo for treatment of chronic diarrhea and nonspecific colitis in immunocompetent HIV patients.

    abstract::Chronic diarrhea and colitis are common in patients positive for human immunodeficiency virus (HIV) under highly active antiretroviral treatment (HAART). This prospective double-blind study explores the effect of mesalamine vs. placebo in HIV-positive patients. Thirteen HIV-infected patients with noninfectious chronic...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10620-006-3102-6

    authors: Rodríguez-Torres M,Rodríguez-Orengo JF,Ríos-Bedoya CF,Fernández-Carbia A,Salgado-Mercado R,Marxuach-Cuétara AM

    更新日期:2006-01-01 00:00:00

  • Prospective, multicenter study on value of computerized tomography (CT) in gallstone disease in predicting response to bile acid therapy.

    abstract::The aim of the study was to assess the value of quantitative attenuation values (Hounsfield units) and of gallstone pattern by computerized tomography in predicting response to bile acid therapy. We carried out a prospective study in a multicenter setting on 90 consecutive outpatients with radiolucent gallstones. All ...

    journal_title:Digestive diseases and sciences

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1007/BF02208664

    authors: Petroni ML,Jazrawi RP,Grundy A,Lanzini A,Pigozzi MG,Biasio A,Heaton KW,Virjee J,Northfield TC

    更新日期:1995-09-01 00:00:00

  • Malignant lymphoma of the liver. Report of five cases and review of the literature.

    abstract::Primary hepatic lymphoma is a rare disease. We report five cases here and summarize clinical and pathologic features of our own and reported cases from Western countries and Japan. The total number of cases was 68. The age of patients ranged from 7 to 87 years (median 55) with a male-to-female ratio of 3.1:1. Chronic ...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章,评审

    doi:10.1007/BF01300294

    authors: Ohsawa M,Aozasa K,Horiuchi K,Kataoka M,Hida J,Shimada H,Oka K,Wakata Y

    更新日期:1992-07-01 00:00:00

  • Preoperative total parenteral nutrition for bowel resection in Crohn's disease.

    abstract::To examine the effect of preoperative total parenteral nutrition (TPN) on patients with Crohn's disease undergoing bowel resection, an historical cohort was assembled of 103 patients resected between 1982 and 1984 by a single surgical team. Preoperative, perioperative, and postoperative variables were compared between...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/BF01540346

    authors: Lashner BA,Evans AA,Hanauer SB

    更新日期:1989-05-01 00:00:00

  • Risk Factors for Rescue Therapy in Crohn's Patients Maintained on Infliximab After Withdrawal of the Immunomodulator: A Long-Term Follow-Up.

    abstract:BACKGROUND:Usefulness of thiopurine and scheduled infliximab combination therapy in non-immunomodulator (IM)-naïve Crohn's disease (CD) patients and the optimal length of dual therapy are still debated. AIMS:To determine proportion of patients developing disease flare requiring rescue therapy and risk factors associat...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/s10620-017-4771-z

    authors: Fischer M,Campbell SC,Calley CSJ,Helper DJ,Chiorean MV,Fadda HM

    更新日期:2017-11-01 00:00:00

  • Changes of the intestinal microbiota, short chain fatty acids, and fecal pH in patients with colorectal cancer.

    abstract:BACKGROUND:New molecular biology-based methods of bacterial identification are expected to help elucidate the relationship between colorectal cancer (CRC) and intestinal microbiota. Although there is increasing evidence revealing the potential role of microbiota in CRC, it remains unclear whether microbial dysbiosis is...

    journal_title:Digestive diseases and sciences

    pub_type: 杂志文章

    doi:10.1007/s10620-012-2526-4

    authors: Ohigashi S,Sudo K,Kobayashi D,Takahashi O,Takahashi T,Asahara T,Nomoto K,Onodera H

    更新日期:2013-06-01 00:00:00