A novel quick transendoscopic enteral tubing in mid-gut: technique and training with video

Chuyan Long, Yan Yu, Bota Cui, Sabreen Abdul Rahman Jagessar, Jie Zhang, Guozhong Ji, Guangming Huang, Faming Zhang, Chuyan Long, Yan Yu, Bota Cui, Sabreen Abdul Rahman Jagessar, Jie Zhang, Guozhong Ji, Guangming Huang, Faming Zhang

Abstract

Background: This study aimed to evaluate the feasibility, safety, and value of a quick technique for transendoscopic enteral tubing (TET) through mid-gut.

Methods: A prospective interventional study was performed in a single center. A TET tube was inserted into mid-gut through the nasal orifice and fixed on the pylorus wall by one tiny titanium endoscopic clip under anesthesia. The feasibility, safety, success rate, and satisfaction with TET placement were evaluated for enteral nutrition or fecal microbiota transplantation.

Results: A total of 86 patients underwent mid-gut TET. The success rate of the TET procedure was 98.8% (85/86). Mean tubing time of the TET procedure was 4.2 ± 1.9 min. 10 cases of procedure was enough for training of general endoscopist to shorten the procedure time (7.0 min vs 4.0 min, p < 0.05). 97.7% (84/86) of patients were satisfied with the TET placement. Procedure-related and tube-related adverse events were observed in 8.1% (7/86) and 7.0% (6/86) of patients respectively. There were no moderate to severe adverse events during tube extubation.

Conclusions: TET through mid-gut is a novel, convenient, reliable and safe procedure for mid-gut administration with a high degree of patient satisfaction.

Trial registration: This research was retrospectively registered with clinicaltrials.gov. Trial registration date: 29th November 2017.

Trial registration number: NCT03335982 .

Keywords: Endoscopy; Enteral nutrition; Fecal microbiota transplantation; Mid-gut; Nasal-jejunal tube; Transendoscopic enteral tubing.

Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the Institutional Review Board of the Second Affiliated Hospital of Nanjing Medical University (2015KY042). Written informed consent was obtained from all adult subjects or parents in pediatric cases.

Consent for publication

Written informed consent for publication of clinical images and video was obtained from the patient.

Competing interests

Faming Zhang is the inventor of TET. Other authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Concept and procedure of administration through mid-gut tubing. a The concept of administration through mid-gut tubing; b The endoscopic view at mouth cavity when the soft tube tip from nasal cavity was inserted into hypopharynx close to esophagus; c One tiny endoscopic clip was used for fixation of the tube at gastric antrum before the guide wire within the tube was removed out; d The location of mid-gut tube could be confirmed by X-Ray and contrast agent, but is not necessary using this TET technique and device
Fig. 2
Fig. 2
The tendency of operating time in two endoscopists. a The time of procedure for the general endoscopist showed significant decreasingtendency during the training; b The time of procedure decreased slightly during the training in the advanced endoscopist

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