A Modified Method for Blind Bedside Placement of Post-pyloric Feeding Tube.

Zhejiang University

Status

Completed

Conditions

Nutritional Support, Catheterization, Post-pyloric Feeding Tube, Dysphagia

Treatments

Procedure: A modified method for blind bedside placement of post-pyloric feeding tube.

Study type

Observational

Funder types

Other

Identifiers

NCT04608071

2020-273

Details and patient eligibility

About

To compare efficacy and safety of a new modified post-pyloric feeding tube bedside catheterization with Corpak 10-10-10 protocol and electromagnetic guided catheterization for treatment of patients with dysphagia and at high-risk of aspiration pneumonia. We conducted a single-center, single-blinded, and randomized controlled clinical trial. A total of 63 patients were treated with the non-gravity type CORFLO gastrointestinal feeding tube between 2017.1 and 2019.1 using different procedures: in the M group, patients underwent modified post-pyloric feeding tube bedside placement; in C group, patients underwent conventional Corpak protocol; in EM group, patients received standard electromagnetic guided tube placement.

Enrollment

99 patients

Sex

All

Ages

18 to 90 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

All patients had dysphagia that could not be alleviated within 48 hours
High-risk status with aspiration pneumonia, including consciousness disorder caused by various diseases, severe dementia, bed rest, gastroesophageal reflux, hiccup, gastric retention, achalasia of pyloric.
Can't receive nasogastric tube feeding.

Exclusion criteria

The previous history of upper abdominal surgery.
Gastroduodenal ulcer and esophagogastric varices;
Severe sinusitis and nasal bone fracture;
Patients with recent gastrointestinal bleeding, intestinal obstruction, ischemic bowel disease, and epistaxis;
Patients with electromagnetically-guided catheterization should additionally exclude implantable cardiac defibrillator, implantable cardiac pacemaker or diaphragm pacemaker.