Electromagnetic-guided postpyloric tube placement in children: Pilot study of its use as a rescue therapy

Bart G.P. Koot; Renée Westerhout; Marc A. Benninga; Anne C.E.M. Duflou; Lydia C.M. Singels; Rick R. van Rijn; Elisabeth M.H. Mathus-Vliegen

doi:10.1016/j.eclnm.2011.01.011

Electromagnetic-guided postpyloric tube placement in children: Pilot study of its use as a rescue therapy

Bart G.P. Koot, Renée Westerhout, Marc A. Benninga, Anne C.E.M. Duflou, Lydia C.M. Singels, Rick R. van Rijn, Elisabeth M.H. Mathus-Vliegen

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

Abstract

Background & aims: Postpyloric feeding is frequently indicated in clinical practice. Postpyloric enteral tube placement can be cumbersome, necessitating use of fluoroscopy and/or endoscopy. Guiding devices have been developed to facilitate bedside tube placement. We aimed to evaluate the feasibility and safety of postpyloric enteral tube placement in children using an electromagnetic-guided system as a rescue strategy in case blind tube insertion failed. Method: In a prospective pilot study in 10 children postpyloric enteral tube placement using an electromagnetic-guided placement was attempted after blind placement failure. Results: Postpyloric enteral tube placement was successful in 6 of the 10 included patients. No adverse events occurred and it was well tolerated. Conclusion: This pilot study suggests that electromagnetic-guided placement as a rescue technique for postpyloric enteral tube placement can prevent the use of fluoroscopy and/or endoscopic placement in a substantial portion of patients.

Original language	English
Pages (from-to)	e74-e76
Journal	e-SPEN
Volume	6
Issue number	2
DOIs	https://doi.org/10.1016/j.eclnm.2011.01.011
Publication status	Published - Apr 2011
Externally published	Yes

Keywords

Child
Electromagnetic-guided tube placement
Pilot study
Postpyloric tube feeding
Rescue therapy

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10.1016/j.eclnm.2011.01.011

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title = "Electromagnetic-guided postpyloric tube placement in children: Pilot study of its use as a rescue therapy",

abstract = "Background & aims: Postpyloric feeding is frequently indicated in clinical practice. Postpyloric enteral tube placement can be cumbersome, necessitating use of fluoroscopy and/or endoscopy. Guiding devices have been developed to facilitate bedside tube placement. We aimed to evaluate the feasibility and safety of postpyloric enteral tube placement in children using an electromagnetic-guided system as a rescue strategy in case blind tube insertion failed. Method: In a prospective pilot study in 10 children postpyloric enteral tube placement using an electromagnetic-guided placement was attempted after blind placement failure. Results: Postpyloric enteral tube placement was successful in 6 of the 10 included patients. No adverse events occurred and it was well tolerated. Conclusion: This pilot study suggests that electromagnetic-guided placement as a rescue technique for postpyloric enteral tube placement can prevent the use of fluoroscopy and/or endoscopic placement in a substantial portion of patients.",

keywords = "Child, Electromagnetic-guided tube placement, Pilot study, Postpyloric tube feeding, Rescue therapy",

author = "Koot, {Bart G.P.} and Ren{\'e}e Westerhout and Benninga, {Marc A.} and Duflou, {Anne C.E.M.} and Singels, {Lydia C.M.} and {van Rijn}, {Rick R.} and Mathus-Vliegen, {Elisabeth M.H.}",

year = "2011",

month = apr,

doi = "10.1016/j.eclnm.2011.01.011",

language = "English",

volume = "6",

pages = "e74--e76",

journal = "e-SPEN",

issn = "1751-4991",

publisher = "Elsevier BV",

number = "2",

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TY - JOUR

T1 - Electromagnetic-guided postpyloric tube placement in children

T2 - Pilot study of its use as a rescue therapy

AU - Koot, Bart G.P.

AU - Westerhout, Renée

AU - Benninga, Marc A.

AU - Duflou, Anne C.E.M.

AU - Singels, Lydia C.M.

AU - van Rijn, Rick R.

AU - Mathus-Vliegen, Elisabeth M.H.

PY - 2011/4

Y1 - 2011/4

N2 - Background & aims: Postpyloric feeding is frequently indicated in clinical practice. Postpyloric enteral tube placement can be cumbersome, necessitating use of fluoroscopy and/or endoscopy. Guiding devices have been developed to facilitate bedside tube placement. We aimed to evaluate the feasibility and safety of postpyloric enteral tube placement in children using an electromagnetic-guided system as a rescue strategy in case blind tube insertion failed. Method: In a prospective pilot study in 10 children postpyloric enteral tube placement using an electromagnetic-guided placement was attempted after blind placement failure. Results: Postpyloric enteral tube placement was successful in 6 of the 10 included patients. No adverse events occurred and it was well tolerated. Conclusion: This pilot study suggests that electromagnetic-guided placement as a rescue technique for postpyloric enteral tube placement can prevent the use of fluoroscopy and/or endoscopic placement in a substantial portion of patients.

AB - Background & aims: Postpyloric feeding is frequently indicated in clinical practice. Postpyloric enteral tube placement can be cumbersome, necessitating use of fluoroscopy and/or endoscopy. Guiding devices have been developed to facilitate bedside tube placement. We aimed to evaluate the feasibility and safety of postpyloric enteral tube placement in children using an electromagnetic-guided system as a rescue strategy in case blind tube insertion failed. Method: In a prospective pilot study in 10 children postpyloric enteral tube placement using an electromagnetic-guided placement was attempted after blind placement failure. Results: Postpyloric enteral tube placement was successful in 6 of the 10 included patients. No adverse events occurred and it was well tolerated. Conclusion: This pilot study suggests that electromagnetic-guided placement as a rescue technique for postpyloric enteral tube placement can prevent the use of fluoroscopy and/or endoscopic placement in a substantial portion of patients.

KW - Child

KW - Electromagnetic-guided tube placement

KW - Pilot study

KW - Postpyloric tube feeding

KW - Rescue therapy

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DO - 10.1016/j.eclnm.2011.01.011

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SN - 1751-4991

VL - 6

SP - e74-e76

JO - e-SPEN

JF - e-SPEN

IS - 2

ER -

Electromagnetic-guided postpyloric tube placement in children: Pilot study of its use as a rescue therapy

Abstract

Keywords

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