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"Nasogastric Tube" OR "Orogastric Tube"

Chi-Maw Lin, Chen-Han Chou, Ting-Yi Li, Tseng-Cheng Chen
This simple method of fiberscope nasogastric tube (NGT) guidance is possible. This method is suitable for patients who failed with inserting NGT blindly. NGT is attached to the fiberscope by manipulating the NGT side-hole and tip. NGT is detached from the fiberscope by swaying the scope articulating tip. The success rate was 92% and the success rate of the first attempt was 56.52%. This article is protected by copyright. All rights reserved.
August 11, 2018: Clinical Otolaryngology
Antonia Dastamani, Neha Malhorta, Maria Güemes, Kate Morgan, Clare M Rees, Mehul Dattani, Pratik Shah
INTRODUCTION: Post-prandial hyperinsulinaemic hypoglycaemia (PPHH) is a recognized complication of various gastric surgeries in children, but rarely reported after oesophageal atresia repair. We report 2 children diagnosed with PPHH after oesophageal surgery and the challenges of their management. Case 1: A 2-year-old boy diagnosed with oesophageal atresia at birth was surgically repaired requiring 6 oesophageal dilatations in the first year of life. At 11 months of age, he manifested hypoglycaemic seizures and investigations confirmed PPHH...
August 9, 2018: Hormone Research in Pædiatrics
Katherine Sanchez, Jessica O Boyce, Angela T Morgan, Alicia J Spittle
BACKGROUND: Feeding difficulties threaten growth, health and neurodevelopment, and are prevalent among infants born preterm. The literature differs on (i) whether these problems persist into early childhood, and (ii) risk factors in the preterm population. In this study we explore feeding difficulties and risk factors in preterm and term-born three-year-olds. OBJECTIVES: To determine whether three-year-olds born <30 weeks have poorer feeding outcomes than their term-born peers; and identify predictors of feeding outcomes in children born <30 weeks...
August 6, 2018: Appetite
Chunxiao Wei, Fengchun Wan, Haiwei Zhao, Jiajia Ma, Zhenli Gao, Chunhua Lin
Objective This study was performed to evaluate the application of enhanced recovery after surgery (ERAS) in patients undergoing radical cystectomy (RC). Methods The clinical data of 192 patients who underwent RC were collected in this retrospective cohort study. Among them, 91 patients who underwent ERAS were allocated to the ERAS group, and the remaining 101 patients who underwent traditional postoperative care procedures were allocated to the non-ERAS group. Perioperative indexes in the two groups were compared...
August 8, 2018: Journal of International Medical Research
Mark D Darocki, Anthony J Medak
A spontaneous diaphragmatic hernia (SDH) occurs when intra-abdominal contents extend into the thoracic cavity through a defect in the diaphragm after a sudden increase in intra-abdominal pressure. SDH is one of the rarest surgical emergencies with less than 30 reported cases in the literature.1,2 In our case a 94-year-old female presented to the emergency department in respiratory distress with unilateral breath sounds and was diagnosed with a SDH. The only treatment option for a SDH is surgical.3,11 However, nasogastric tube decompression of the gastrointestinal tract and supplemental oxygen can be used to alleviate symptoms until definitive operative management is performed...
August 2018: Clinical practice and cases in emergency medicine
Jaesoon Son, Haesang Yoon
PURPOSE: This study was to identify factors affecting postoperative nausea and vomiting (PONV) and to investigate the incidence of PONV for the first 24 hours after operation. DESIGN: The prospective research was performed in an 1,100-bed university hospital, from April to December, 2011. The sample consisted of 609 patients with elective surgery. METHODS: Factors affecting PONV were identified by multiple logistic regression. FINDINGS: Incidence of PONV was 27...
August 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
P Benson Ham, Mark A Ellis, Erika L Simmerman, Nathaniel J Walsh, Alykhan Lalani, Morgan Young, Robyn Hatley, Charles G Howell, Charles Anthony Hughes
Procedures and outcomes for pediatric esophageal foreign body removal were analyzed. Traditional methods of battery removal were compared with a magnetic tip orogastric tube (MtOGT). A single institution retrospective review from 1997 to 2014 of pediatric patients with esophageal foreign bodies was performed. Balloon extraction with fluoroscopy (performed in 173 patients with 91% success), flexible endoscopy (92% success in 102 patients), and rigid esophagoscopy (95% in 38 patients) had excellent success rates...
July 1, 2018: American Surgeon
Paolo Orlandoni, Nikolina Jukic Peladic, Mirko Di Rosa, Claudia Venturini, Donata Fagnani, Debora Sparvoli, Natascia Giorgini, Redenta Basile, Claudia Cola
BACKGROUND AND AIMS: European and international guidelines advice against initiating tube-feeding in patients with severe dementia. These recommendations are based on studies with important methodological limitations that evaluated the benefits of artificial nutrition in patients with percutaneous endoscopic gastrostomy almost exclusively in terms of the prolongation of survival. The aims of this study were to assess the harmful effects of home enteral nutrition administered via the nasogastric tube and percutaneous endoscopic gastrostomy in patients with advanced dementia in terms of mechanical, gastrointestinal and metabolic complications, to estimate the survival, to explore the risk factors for mortality and to compare the outcomes of patients with advanced dementia with those of patients without dementia...
July 20, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
Qian Cai, Fang Li, Yunxian Zhou
BACKGROUND: Despite the increasing number of Crohn's disease patients self-administering nasogastric feeding as enteral nutrition support therapy, no studies have reported the experiences of self-administering nasogastric feeding from the perspective of these patients. OBJECTIVES: To explore the initial trigger factors for the self-administration of nasogastric feeding by Crohn's disease patients and to understand the experiences of self-administration of nasogastric feeding, its effects on various aspects of life and work, and relevant challenges and coping mechanisms encountered during this therapy in order to improve the understanding of this group of patients among medical staff and the public...
2018: PloS One
Masato Fujii, Toshio Kamimura, Hiromasa Tsukino, Eiji Furukoji, Tatefumi Sakae, Koichi Yano, Naoya Imamura, Shoichiro Mukai, Atsushi Nanashima, Toshiyuki Kamoto
In cases of RCC with liver involvement, partial hepatectomy is known to provide a better chance of survival for patients. For this reason, complete resection with clear surgical margin is thought to be necessary to achieve favorable outcome. Anterior liver hanging maneuver was extremely useful during hemihepatectomy in this rare type of RCC. A 63-year-old male was diagnosed with a large right renal cell carcinoma. The tumor measured 10 cm in diameter with tumor thrombus toward the inferior vena cava (IVC)...
2018: Case Reports in Urology
Kwo-Chen Lee, Wen-Hsuan Hsu, Po-Han Chou, Jia-Jean Yiin, Chih-Hsin Muo, Yun-Ping Lin
BACKGROUND: Dementia is characterized by prolonged progressive disability. Therefore, predicting mortality is difficult. An accurate prediction tool may be useful to ensure that end-of-life patients with dementia receive timely palliative care. PURPOSE: This study aims to establish a survival prediction model for elderly patients with dementia in Taiwan. METHODS: Data from the 2001 to 2010 National Health Insurance Research Database in Taiwan were used to identify 37,289 patients with dementia aged ≥65 years for inclusion in this retrospective longitudinal study...
2018: PloS One
Toshiki Maeda, Akira Babazono, Takumi Nishi, Hisatomi Arima, Masayoshi Tsuji, Miki Kawazoe, Atsushi Satoh
AIM: The present study aimed to investigate the effects of the 2014 Japanese fee schedule revision on trends in artificial nutrition routes, including gastrostomy, nasogastric tube and parenteral nutrition, among older people with dementia, using time series analysis. METHODS: The study used claim data in Japan submitted to Fukuoka Late Elders' Health Insurance from fiscal year 2010 to fiscal year 2016. We identified older people with dementia provided for the first time with artificial nutrition via gastrostomy, nasogastric tube or central venous line and aggregated their data by month...
July 25, 2018: Geriatrics & Gerontology International
Juh Hyun Shin
AIMS: To examine the relationship between nurse staffing and quality of care of nursing home residents, longitudinally. BACKGROUND: Mixed results abound on the relationship between nurse staffing and quality of care of residents in nursing homes. Cross-sectional designs may underpin bias because the relationship between staffing and quality emerges over time, with latent unobserved variables. To offset this limitation, I used a longitudinal design in this study...
July 24, 2018: Journal of Nursing Scholarship
Wilson Jose Mesquita, Craig M Kline, Patricia Vernier, Anna M Ledgerwood, Charles E Lucas
BACKGROUND: Gastric prophylaxis against stress ulceration with histamine 2 blockers or protein pump inhibitors is a quality standard in septic Surgical Intensive Care Unit (SICU) patients to reduce gastric pH below 3.5. This study assesses the efficacy of gastric prophylaxis with pH monitoring. METHODS: A total of 100 patients were studied for 481 days. All received histamine 2 blockers or protein pump inhibitors. Daily pH control was judged as poor (1-3), moderate (4-5), or good (>5)...
July 2, 2018: Surgery
Eleftheria Kalogera, Gregg Nelson, Jessica Liu, Q Lina Hu, Clifford Y Ko, Elizabeth Wick, Sean C Dowdy
OBJECTIVE: The Agency for Healthcare Research and Quality (AHRQ), in partnership with the American College of Surgeons (ACS) and the Armstrong Institute (AI) at Johns Hopkins, developed the Safety Program for Improving Surgical Care and Recovery (ISCR), which integrates principles of implementation science into adoption of enhanced recovery pathways (ERP) and promotes evidence-based perioperative care. The objective of this study is to review the ERPs literature in gynecologic surgery (GS) and provide the framework for ISCR pathway for GS...
July 19, 2018: American Journal of Obstetrics and Gynecology
Fur-Hsing Wen, Jen-Shi Chen, Po-Jung Su, Wen-Cheng Chang, Chia-Hsun Hsieh, Ming-Mo Hou, Wen-Chi Chou, Siew Tzuh Tang
BACKGROUND/AIM: The extent to which patients' preferences for end-of-life (EOL) care are honored may be distorted if preferences are measured long before death, a common approach of existing research. We examined the concordance between cancer patients' states of life-sustaining treatments (LSTs) received in their last month and LST-preference states assessed longitudinally over their last 6 months. METHODS/DESIGN: We examined states of preferred and received LSTs (cardio-pulmonary resuscitation, intensive care unit care, chest compression, intubation with mechanical ventilation, intravenous nutrition, and nasogastric tube feeding) in 271 cancer patients' last 6 months by a transition model with hidden Markov modeling (HMM)...
July 16, 2018: Journal of Pain and Symptom Management
Lu-Jing Tang, Hong Zhao, Jin-Gan Lou, Ke-Rong Peng, Jin-Dan Yu, You-You Luo, You-Hong Fang, Fei-Bo Chen, Jie Chen
OBJECTIVE: To study the clinical features and prognosis of gastrointestinal injury caused by foreign bodies in the upper gastrointestinal tract in children. METHODS: A retrospective analysis was performed for the clinical data of 217 children who were diagnosed with foreign bodies in the upper gastrointestinal tract complicated by gastrointestinal injury by gastroscopy from January 2011 to December 2016, including clinical features, gastroscopic findings, complications, and prognosis...
July 2018: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
Reetta P Piili, Juho T Lehto, Tiina Luukkaala, Heikki Hinkka, Pirkko-Liisa I Kellokumpu-Lehtinen
BACKGROUND: Characteristics of the physician influence the essential decision-making in end-of-life care. However, the effect of special education in palliative medicine on different aspects of decision-making in end-of-life care remains unknown. The aim of this study was to explore the decision-making in end-of-life care among physicians with or without special competency in palliative medicine (cPM). METHODS: A questionnaire including an advanced lung cancer patient-scenario with multiple decision options in end-of-life care situation was sent to 1327 Finnish physicians...
July 18, 2018: BMC Palliative Care
Bartosz Bogusz, Dariusz Patkowski, Sylwester Gerus, Marcin Rasiewicz, Wojciech Górecki
INTRODUCTION: Primary repair of long-gap esophageal atresia (LGEA) continues to present a surgical challenge. The number of treatment options, including the use of native esophagus or esophageal replacement, shows the difficulty in the treatment and lack of one superior option. Until recently all children with LGEA required temporary gastrostomy before esophageal reconstruction. OBJECTIVE: The aim of the study is to present new therapeutic management in patients with LGEA, involving staged thoracoscopic procedure with internal traction without gastrostomy...
July 17, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Emriye Hilal Yayan, Sibel Kucukoglu, Yeliz Suna Dag, Nazlı Karsavuran Boyraz
BACKGROUND: Body position affects the gastric emptying rate and hence the amount of gastric residue. OBJECTIVE: This study aims to analyze the effect of the post-feeding position of preterm infants on gastric residue. MATERIALS AND METHODS: This experimental study was conducted in the neonatal intensive care unit (NICU) of a university hospital (İnönü University Turgut Özal Medical Center) in Eastern Turkey. The study included 40 preterm infants weighing less than 2,000 g, who were fed orogastrically...
July 2018: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
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