Real-time imaging-guided visualization facilitates post-pyloric feeding tube placement in critically ill patients: a prospective randomized controlled study

Reintam Blaser A, Starkopf J, Alhazzani W, Berger MM, Casaer MP, Deane AM, et al. Early enteral nutrition in critically ill patients: ESICM clinical practice guidelines. Intensive Care Med. 2017;43:380–98. https://doi.org/10.1007/s00134-016-4665-0.

Article  PubMed  PubMed Central  Google Scholar 

Dresen E, Pimiento JM, Patel JJ, Heyland DK, Rice TW, Stoppe C. Overview of oxidative stress and the role of micronutrients in critical illness. JPEN J Parenter Enteral Nutr. 2023;47:S38–s49. https://doi.org/10.1002/jpen.2421.

Article  PubMed  Google Scholar 

Rousseau AF, Martindale R. Nutritional and metabolic modulation of inflammation in critically ill patients: a narrative review of rationale, evidence and grey areas. Ann Intensive Care. 2024;14:121. https://doi.org/10.1186/s13613-024-01350-x.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Nicolo M, Heyland DK, Chittams J, Sammarco T, Compher C. Clinical outcomes related to protein delivery in a critically ill population: a multicenter, multinational observation study. JPEN J Parenter Enteral Nutr. 2016;40:45–51. https://doi.org/10.1177/0148607115583675.

Article  CAS  PubMed  Google Scholar 

Taylor BE, McClave SA, Martindale RG, Warren MM, Johnson DR, Braunschweig C, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). Crit Care Med. 2016;44:390–438. https://doi.org/10.1097/ccm.0000000000001525.

Article  PubMed  Google Scholar 

Al-Dorzi HM, Arabi YM. Nutrition support for critically ill patients. JPEN J Parenter Enteral Nutr. 2021;45:47–59. https://doi.org/10.1002/jpen.2228.

Article  PubMed  Google Scholar 

Alkhawaja S, Martin C, Butler RJ, Gwadry-Sridhar F. Post-pyloric versus gastric tube feeding for preventing pneumonia and improving nutritional outcomes in critically ill adults. Cochrane Database Syst Rev. 2015;2015:Cd008875. https://doi.org/10.1002/14651858.CD008875.pub2.

Article  PubMed  PubMed Central  Google Scholar 

Doig GS, Heighes PT, Simpson F, Sweetman EA, Davies AR. Early enteral nutrition, provided within 24 h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a meta-analysis of randomised controlled trials. Intensive Care Med. 2009;35:2018–27. https://doi.org/10.1007/s00134-009-1664-4.

Article  CAS  PubMed  Google Scholar 

McClave SA, Taylor BE, Martindale RG, Warren MM, Johnson DR, Braunschweig C, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N. JPEN J Parenter Enteral Nutr. 2016;40:159–211. https://doi.org/10.1177/0148607115621863.

Article  CAS  PubMed  Google Scholar 

Liu Y, Wang Y, Zhang B, Wang J, Sun L, Xiao Q. Gastric-tube versus post-pyloric feeding in critical patients: a systematic review and meta-analysis of pulmonary aspiration- and nutrition-related outcomes. Eur J Clin Nutr. 2021;75:1337–48. https://doi.org/10.1038/s41430-021-00860-2.

Article  PubMed  Google Scholar 

Davies AR, Froomes PR, French CJ, Bellomo R, Gutteridge GA, Nyulasi I, et al. Randomized comparison of nasojejunal and nasogastric feeding in critically ill patients. Crit Care Med. 2002;30:586–90. https://doi.org/10.1097/00003246-200203000-00016.

Article  PubMed  Google Scholar 

Wang Q, Xuan Y, Liu C, Lu M, Liu Z, Chang P. Blind placement of postpyloric feeding tubes at the bedside in intensive care. Crit Care. 2021;25:168. https://doi.org/10.1186/s13054-021-03587-5.

Article  PubMed  PubMed Central  Google Scholar 

Milsom SA, Sweeting JA, Sheahan H, Haemmerle E, Windsor JA. Naso-enteric tube placement: a review of methods to confirm tip location, global applicability and requirements. World J Surg. 2015;39:2243–52. https://doi.org/10.1007/s00268-015-3077-6.

Article  CAS  PubMed  Google Scholar 

Bing X, Yinshan T, Ying J, Yingchuan S. Efficacy and safety of a modified method for blind bedside placement of post-pyloric feeding tube: a prospective preliminary clinical trial. J Int Med Res. 2021;49:300060521992183. https://doi.org/10.1177/0300060521992183.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Tatsumi H, Akatsuka M, Kazuma S, Katayama Y, Goto Y, Monma K, et al. Endoscopic insertion of nasojejunal feeding tube at bedside for critically ill patients: relationship between tube position and intragastric countercurrent of contrast medium. Ann Nutr Metab. 2019;75:163–7. https://doi.org/10.1159/000502676.

Article  CAS  PubMed  Google Scholar 

Lorenzo-Zúñiga V, Moreno de Vega V, Moreno P, Muchard J, Boix J. Endoscopic placement of postpyloric nasoenteric feeding tubes: the importance of the guidewire used. Clin Nutr. 2009;28:355–6. https://doi.org/10.1016/j.clnu.2009.02.009.

Article  PubMed  Google Scholar 

Liang WL, Ma MZ, Min XH, Ouyang X, Liu J, Wu HH, et al. Application and effectiveness of an improved endoscopically guided nasojejunal tube placement technique in critically ill patients: a retrospective cohort study. Transl Gastroenterol Hepatol. 2023;8:36. https://doi.org/10.21037/tgh-23-87.

Article  PubMed  PubMed Central  Google Scholar 

Jin Z, Wei Y, Shen G, Zhang X. Electromagnetic-guided versus endoscopic placement of nasoenteral feeding tubes: protocol for a systematic review and meta-analysis. BMJ Open. 2021;11:e044637 https://doi.org/10.1136/bmjopen-2020-044637.

Article  PubMed  PubMed Central  Google Scholar 

Tan G, Chen Y, Lin Y. Electromagnetically navigated tube placement device for bedside placement of small bowel feeding tube on patients with acute severe pancreatitis: comparative study. Curr Med Imaging. 2023:6. https://doi.org/10.2174/1573405620666230811142726

Mathus-Vliegen EM, Duflou A, Spanier MB, Fockens P. Nasoenteral feeding tube placement by nurses using an electromagnetic guidance system (with video). Gastrointest Endosc. 2010;71:728–36. https://doi.org/10.1016/j.gie.2009.10.046.

Article  PubMed  Google Scholar 

Kappelle WFW, Walter D, Stadhouders PH, Jebbink HJA, Vleggaar FP, van der Schaar PJ, et al. Electromagnetic-guided placement of nasoduodenal feeding tubes versus endoscopic placement: a randomized, multicenter trial. Gastrointest Endosc. 2018;87:110–8. https://doi.org/10.1016/j.gie.2017.05.033.

Article  PubMed  Google Scholar 

Chen Y, Wu G, Qu C, Ye Z, Kang Y, Tian X. A multifaceted comparative analysis of image and video technologies in gastrointestinal endoscope and their clinical applications. Front Med. 2023;10:1226748. https://doi.org/10.3389/fmed.2023.1226748.

Article  Google Scholar 

Ferraboli SF, Beghetto MG. Bedside ultrasonography for the confirmation of nasogastric tube placement: agreement between nurse and physician. Rev Gaucha Enferm. 2022;43:e20220211. https://doi.org/10.1590/1983-1447.2022.20220211.en.

Article  PubMed  Google Scholar 

Valla FV, Cercueil E, Morice C, Tume LN, Bouvet L. Point-of-care gastric ultrasound confirms the inaccuracy of gastric residual volume measurement by aspiration in critically ill children: GastriPed study. Front Pediatr. 2022;10:903944. https://doi.org/10.3389/fped.2022.903944.

Article  PubMed  PubMed Central  Google Scholar 

Taylor SJ, Karpasiti T, Milne D. Safety of blind versus guided feeding tube placement: misplacement and pneumothorax risk. Intensive Crit Care Nurs. 2023;76:103387. https://doi.org/10.1016/j.iccn.2023.103387.

Article  PubMed  Google Scholar 

Wischmeyer PE, McMoon MM, Waldron NH, Dye EJ. Successful identification of anatomical markers and placement of feeding tubes in critically ill patients via camera-assisted technology with real-time video guidance. JPEN J Parenter Enteral Nutr. 2019;43:118–25. https://doi.org/10.1002/jpen.1313.

Article  PubMed  Google Scholar 

Mizzi A, Cozzi S, Beretta L, Greco M, Braga M. Real-time image-guided nasogastric feeding tube placement: a case series using Kangaroo with IRIS Technology in an ICU. Nutrition. 2017;37:48–52. https://doi.org/10.1016/j.nut.2016.09.002.

Article  PubMed  Google Scholar 

Taylor SJ, Sayer K, Terlevich A, Campbell D. Tube placement using ‘IRIS’: a pilot assessment of its utility and safety. Intensive Crit Care Nurs. 2021;66:103077. https://doi.org/10.1016/j.iccn.2021.103077.

Article  PubMed  Google Scholar 

Lo YN, Kang JW, Hsieh CC, Chen CZ, Yang KC, Tsai WC, et al. Real-time visualization of the gastrointestinal tract during nasogastric tube placement: pilot study of new video-assisted system. Endosc Int Open. 2025;13:a24947454. https://doi.org/10.1055/a-2494-7454.

Article  PubMed  PubMed Central 

Comments (0)

No login
gif