Videoscopic placement of feeding tubes: Development of a through the tube technique

Kurt W. Grathwohl, James W. Thompson, Bernard J. Roth, Thomas A. Dillard

Research output: Contribution to journalArticle

Abstract

Purpose: To describe the development of a bedside videoscopic technique for feeding tube placement using fiberoptics through the tube. Methods: Nine critically ill patients (6 males, 3 females; 8 intubated) participated in placement of standard 10 French (3.3 mm) feeding tubes. A total of 11 feeding tubes were placed into the small bowel by the oral (n=4) or nasal (n=7) route under direct vision using a 6.7 French (2.2 mm) fiberoptic scope through the feeding tube. Transpyloric tube placement was confirmed videoscopically and radiographically. Results: Visually we advanced the feeding tubes into the distal duodenum and beyond in 8 attempts (73%) and into the second portion of the duodenum in 3. The time required for placement ranged from 2 to 43 minutes with a mean±standard deviation of 18 ± 12 minutes. The feeding tubes remained in place 10 ± 4 days and patients met their estimated caloric needs within 24 hours. Residues were minimal and there were no documented episodes of aspiration. Conclusions: This technique has the potential for rapid, accurate and safe feeding tube placement. Clinical Implications: Transpyloric small intestine feeding tube placement can be difficult and tedious. Currently accepted techniques are associated with disadvantages and risk. This technique has the potential to offer clinicians a safe and rapid means with which to place feeding tubes in patients requiring nutritional support.

Original languageEnglish (US)
Pages (from-to)142S
JournalCHEST
Volume110
Issue number4 SUPPL.
StatePublished - Oct 1 1996

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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    Grathwohl, K. W., Thompson, J. W., Roth, B. J., & Dillard, T. A. (1996). Videoscopic placement of feeding tubes: Development of a through the tube technique. CHEST, 110(4 SUPPL.), 142S.