One Brand-new Maneuver to Place Nasoenteric Tube

Not Applicable

• Conditions: Nutrient Intake Disorder

• Registration Number: NCT04222179
• Lead Sponsor: Buddhist Tzu Chi General Hospital

Brief Summary

Naso-enteric tube feeding is necessary for certain patients. Many methods are used to place a naso-enteric tube, such as bed-side blind method, fluoroscopy method and guide-wire method. INvestigators aim to introduce a safe, non-expensive and fast method to insert a silicon naso-gastric (NG) tube into the small intestine.

Detailed Description

Investigators tied a 1-cm surgical suture at the tip of a 16 French silicon NG tube (120 cm long, cost 5 US dollars). One conventional EGD (diameter 2.8 mm) biopsy forceps was inserted into the lumen as a strengthened stylet. Then investigators inserted a biopsy forceps (diameter 2.0 mm) and protruded a little out of the working channel of an ultrathin EGD scope (Fujinon EG 530 N, diameter 5.9 mm) to grasp the suture. The ultrathin EGD and NG tube were parallelly pushed into a selected nostril after adequate decongestive anesthesia (Epinephrine 0.3% + Lidocaine 5%) into the small intestine as deep as possible to the jejunum.

Being placed to the small intestine as far as possible, the NG tube was released and the ultrathin EGD scope withdrew. When the scope was pulled backwards from the stomach, the shape/layout of a NG-tube could be simultaneously monitored and adjusted. At last, the EGD biopsy forceps (2.8 mm) inside the NG tube was removed. With this method, in real life, a plain film is not necessary to confirm the NG tube position. However, for study purpose, a KUB film was taken to check the NG tube position.

Study Timeline

• Study Start: 2019-01-01
• Study First Submitted: 2020-01-02
• Study First Submitted QC: 2020-01-07
• Study First Posted: 2020-01-09
• Status Verified: 2020-07
• Last Update Submitted: 2020-07-08
• Last Update Posted: 2020-07-10
• Primary Completion: 2020-12-31
• Study Completion: 2020-12-31

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

1. Esophageal obstruction
2. Gastric outlet obstruction
3. Duodenal obstruction
4. Pancreatitis
5. Gastroparesis -

Exclusion Criteria

• (1)Coagulopathy (2)Deviation of nasal septa (3)Conscious disturbance

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
procedure time	wıthın 20 mınutes	The procedure times to place the tube are recorded

Secondary Outcome Measures

Name	Time	Method
the tıme of naso-enterıc tube usage	within 90 days	The tıme of the naso-enteric tube was recorded in day

Trial Locations

Locations (1)

Tzu-chi Hospital; 🇨🇳 Hualien City, Hua-lien County, Taiwan