PMID- 33624347
OWN - NLM
STAT- MEDLINE
DCOM- 20210831
LR  - 20210831
IS  - 1941-2452 (Electronic)
IS  - 0884-5336 (Linking)
VI  - 36
IP  - 4
DP  - 2021 Aug
TI  - Factors associated with fluoroscopy-guided placement of nasoenteral feeding 
      tubes.
PG  - 884-890
LID - 10.1002/ncp.10636 [doi]
AB  - BACKGROUND: Feeding by nasoenteral tube (NET) is safe and effective for 
      supporting the nutrition needs of patients with inadequate oral intake. However, 
      during insertion of the NET with fluoroscopic guidance, both the professional 
      staff and patients are exposed to radiation. To improve the success rate of NET 
      placement and minimize radiation exposure, this retrospective study evaluated 
      potential factors associated with successful fluoroscopy-guided NET placement and 
      short total fluoroscopy time (TFT) among Chinese patients. METHODS: An assessment 
      was conducted among patients (n = 348) who received NET placement by physicians 
      under fluoroscopic guidance. Multivariate logistic regression models and linear 
      models were used to validate factors that affected the success of placement and 
      TFT. RESULTS: NET was placed successfully in 319 patients (91.7%), with a median 
      TFT of 6.1 (interquartile range [IQR], 4.9-9.9) minutes. The median TFT of 
      patients with unsuccessful placement was 15.4 (IQR, 12.7-20.9) minutes. Factors 
      associated with successful placement included lack of upper gastrointestinal (GI) 
      surgery history and normal peristalsis of the upper GI tract (P </= .015). The TFT 
      was significantly influenced by upper GI surgery history and characteristics of 
      the upper GI tract (P </= .025). The professional title or experience of the 
      operators had no association with successful NET placement or TFT. CONCLUSIONS: 
      NET placement under fluoroscopic guidance had a high success rate. Factors that 
      are crucial for planning the approach include a history of upper GI surgery, the 
      dynamic status of the upper GI tract, and features of the upper GI tract.
CI  - (c) 2021 American Society for Parenteral and Enteral Nutrition.
FAU - Guo, Weiying
AU  - Guo W
AD  - Department of Endocrinology and Metabolism, The First Hospital of Jilin 
      University, Changchun, Jilin, China.
FAU - Zheng, Ruipeng
AU  - Zheng R
AD  - Department of Interventional Therapy, The First Hospital of Jilin University, 
      Changchun, Jilin, China.
FAU - Xue, Suyang
AU  - Xue S
AD  - Department of Interventional Therapy, The First Hospital of Jilin University, 
      Changchun, Jilin, China.
FAU - Lv, Bin
AU  - Lv B
AD  - Department of Interventional Therapy, The First Hospital of Jilin University, 
      Changchun, Jilin, China.
FAU - Zhang, Haifeng
AU  - Zhang H
AUID- ORCID: 0000-0003-1966-6809
AD  - Department of Interventional Therapy, The First Hospital of Jilin University, 
      Changchun, Jilin, China.
LA  - eng
GR  - JJKH20180226KJ/"Thirteenth Five-Year Plan" Science and Technology Project of 
      Education Department of Jilin Province/
PT  - Journal Article
DEP - 20210223
PL  - United States
TA  - Nutr Clin Pract
JT  - Nutrition in clinical practice : official publication of the American Society for 
      Parenteral and Enteral Nutrition
JID - 8606733
SB  - IM
MH  - *Enteral Nutrition
MH  - Fluoroscopy
MH  - Humans
MH  - Intubation, Gastrointestinal
MH  - *Radiation Exposure
MH  - Retrospective Studies
OTO - NOTNLM
OT  - enteral nutrition
OT  - fluoroscopy
OT  - nasoenteral tube
OT  - radiation exposure
OT  - tube feeding
EDAT- 2021/02/25 06:00
MHDA- 2021/09/01 06:00
CRDT- 2021/02/24 05:49
PHST- 2021/02/25 06:00 [pubmed]
PHST- 2021/09/01 06:00 [medline]
PHST- 2021/02/24 05:49 [entrez]
AID - 10.1002/ncp.10636 [doi]
PST - ppublish
SO  - Nutr Clin Pract. 2021 Aug;36(4):884-890. doi: 10.1002/ncp.10636. Epub 2021 Feb 
      23.