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Factors associated with fluoroscopy‐guided placement of nasoenteral feeding tubes
Author(s) -
Guo Weiying,
Zheng Ruipeng,
Xue Suyang,
Lv Bin,
Zhang Haifeng
Publication year - 2021
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1002/ncp.10636
Subject(s) - medicine , fluoroscopy , interquartile range , feeding tube , retrospective cohort study , logistic regression , surgery
Background Feeding by nasoenteral tube (NET) is safe and effective for supporting the nutrition needs of patients with inadequate oral intake. However, during insertion of the NET with fluoroscopic guidance, both the professional staff and patients are exposed to radiation. To improve the success rate of NET placement and minimize radiation exposure, this retrospective study evaluated potential factors associated with successful fluoroscopy‐guided NET placement and short total fluoroscopy time (TFT) among Chinese patients. Methods An assessment was conducted among patients (n = 348) who received NET placement by physicians under fluoroscopic guidance. Multivariate logistic regression models and linear models were used to validate factors that affected the success of placement and TFT. Results NET was placed successfully in 319 patients (91.7%), with a median TFT of 6.1 (interquartile range [IQR], 4.9–9.9) minutes. The median TFT of patients with unsuccessful placement was 15.4 (IQR, 12.7–20.9) minutes. Factors associated with successful placement included lack of upper gastrointestinal (GI) surgery history and normal peristalsis of the upper GI tract ( P ≤ .015). The TFT was significantly influenced by upper GI surgery history and characteristics of the upper GI tract ( P ≤ .025). The professional title or experience of the operators had no association with successful NET placement or TFT. Conclusions NET placement under fluoroscopic guidance had a high success rate. Factors that are crucial for planning the approach include a history of upper GI surgery, the dynamic status of the upper GI tract, and features of the upper GI tract.