{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T23:31:54Z","timestamp":1772580714043,"version":"3.50.1"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2011,1,7]],"date-time":"2011-01-07T00:00:00Z","timestamp":1294358400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/2.0\/"},{"start":{"date-parts":[[2011,1,7]],"date-time":"2011-01-07T00:00:00Z","timestamp":1294358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/2.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Crit Care"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                        <jats:title>Introduction<\/jats:title>\n                        <jats:p>To accomplish early enteral feeding in the critically ill patient a new transnasal endoscopic approach to the placement of postpyloric feeding tubes by intensive care physicians was evaluated.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Methods<\/jats:title>\n                        <jats:p>This was a prospective cohort study in 27 critically ill patients subjected to transnasal endoscopy and intubation of the pylorus. Attending intensive care physicians were trained in the handling of the new endoscope for transnasal gastroenteroscopy for two days. A jejunal feeding tube was advanced via the instrument channel and the correct position assessed by contrast radiography. The primary outcome measure was successful postpyloric placement of the tube. Secondary outcome measures were time needed for the placement, complications such as bleeding and formation of loops, and the score of the placement difficulty graded from 1 (easy) to 4 (difficult). Data are given as mean values and standard deviation.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Results<\/jats:title>\n                        <jats:p>Out of 34 attempted jejunal tube placements, 28 tubes (82%) were placed correctly in the jejunum. The duration of the procedure was 28 \u00b1 12 minutes. The difficulty of the tube placement was judged as follows: grade 1: 17 patients, grade 2: 8 patients, grade 3: 7 patients, grade 4: 2 patients. In three cases, the tube position was incorrect, and in another three cases, the procedure had to be aborted. In one patient bleeding occurred that required no further treatment.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Conclusions<\/jats:title>\n                        <jats:p>Fast and reliable transnasal insertion of postpyloric feeding tubes can be accomplished by trained intensive care physicians at the bedside using the presented procedure. This new technique may facilitate early initiation of enteral feeding in intensive care patients.<\/jats:p>\n                     <\/jats:sec>","DOI":"10.1186\/cc9407","type":"journal-article","created":{"date-parts":[[2011,1,7]],"date-time":"2011-01-07T19:15:30Z","timestamp":1294427730000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["A new technique for bedside placement of enteral feeding tubes: a prospective cohort study"],"prefix":"10.1186","volume":"15","author":[{"given":"G\u00fcnther","family":"Zick","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Frerichs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Ahrens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bodo","family":"Schniewind","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunnar","family":"Elke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"Sch\u00e4dler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In\u00e9z","family":"Frerichs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Steinfath","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert","family":"Weiler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2011,1,7]]},"reference":[{"key":"8692_CR1","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1016\/j.clnu.2006.01.021","volume":"25","author":"KG Kreymann","year":"2006","unstructured":"Kreymann KG, Berger MM, Deutz NE, Hiesmayr M, Jolliet P, Kazandjiev G, Nitenberg G, van den Berghe G, Wernerman J, Ebner C, Hartl W, Heymann C, Spies C: ESPEN Guidelines on enteral nutrition: intensive care.\n                           Clin Nutr 2006, 25: 210-223. 10.1016\/j.clnu.2006.01.021","journal-title":"Clin Nutr"},{"key":"8692_CR2","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1177\/0148607109335234","volume":"33","author":"SA McClave","year":"2009","unstructured":"McClave SA, Martindale RG, Vanek VW, McCarthy M, Roberts P, Taylor B, Ochoa JB, Napolitano L, Cresci G: Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.).\n                           JPEN J Parenter Enteral Nutr 2009, 33: 277-316. 10.1177\/0148607109335234","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"8692_CR3","doi-asserted-by":"publisher","first-page":"2018","DOI":"10.1007\/s00134-009-1664-4","volume":"35","author":"GS Doig","year":"2009","unstructured":"Doig GS, Heighes PT, Simpson F, Sweetman EA, Davies AR: Early enteral nutrition, provided within 24 h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a meta-analysis of randomised controlled trials.\n                           Intensive Care Med 2009, 35: 2018-2027. 10.1007\/s00134-009-1664-4","journal-title":"Intensive Care Med"},{"key":"8692_CR4","doi-asserted-by":"publisher","first-page":"1762","DOI":"10.1097\/CCM.0b013e318174dcf0","volume":"36","author":"G Elke","year":"2008","unstructured":"Elke G, Schadler D, Engel C, Bogatsch H, Frerichs I, Ragaller M, Scholz J, Brunkhorst FM, Loffler M, Reinhart K, Weiler N: Current practice in nutritional support and its association with mortality in septic patients--results from a national, prospective, multicenter study.\n                           Crit Care Med 2008, 36: 1762-1767. 10.1097\/CCM.0b013e318174dcf0","journal-title":"Crit Care Med"},{"key":"8692_CR5","doi-asserted-by":"publisher","first-page":"2561","DOI":"10.1097\/01.CCM.0000286397.04815.B1","volume":"35","author":"NQ Nguyen","year":"2007","unstructured":"Nguyen NQ, Chapman M, Fraser RJ, Bryant LK, Burgstad C, Holloway RH: Prokinetic therapy for feed intolerance in critical illness: one drug or two?\n                           Crit Care Med 2007, 35: 2561-2567. 10.1097\/01.CCM.0000286397.04815.B1","journal-title":"Crit Care Med"},{"key":"8692_CR6","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1097\/00003246-200203000-00016","volume":"30","author":"AR Davies","year":"2002","unstructured":"Davies AR, Froomes PR, French CJ, Bellomo R, Gutteridge GA, Nyulasi I, Walker R, Sewell RB: Randomized comparison of nasojejunal and nasogastric feeding in critically ill patients.\n                           Crit Care Med 2002, 30: 586-590. 10.1097\/00003246-200203000-00016","journal-title":"Crit Care Med"},{"key":"8692_CR7","doi-asserted-by":"publisher","first-page":"1495","DOI":"10.1097\/00003246-200108000-00001","volume":"29","author":"DK Heyland","year":"2001","unstructured":"Heyland DK, Drover JW, MacDonald S, Novak F, Lam M: Effect of postpyloric feeding on gastroesophageal regurgitation and pulmonary microaspiration: results of a randomized controlled trial.\n                           Crit Care Med 2001, 29: 1495-1501. 10.1097\/00003246-200108000-00001","journal-title":"Crit Care Med"},{"key":"8692_CR8","doi-asserted-by":"publisher","first-page":"1866","DOI":"10.1097\/CCM.0b013e31819ffcda","volume":"37","author":"CW Hsu","year":"2009","unstructured":"Hsu CW, Sun SF, Lin SL, Kang SP, Chu KA, Lin CH, Huang HH: Duodenal versus gastric feeding in medical intensive care unit patients: a prospective, randomized, clinical study.\n                           Crit Care Med 2009, 37: 1866-1872. 10.1097\/CCM.0b013e31819ffcda","journal-title":"Crit Care Med"},{"key":"8692_CR9","doi-asserted-by":"publisher","first-page":"546","DOI":"10.1097\/01.mog.0000239871.12081.7f","volume":"22","author":"KR Byrne","year":"2006","unstructured":"Byrne KR, Fang JC: Endoscopic placement of enteral feeding catheters.\n                           Curr Opin Gastroenterol 2006, 22: 546-550. 10.1097\/01.mog.0000239871.12081.7f","journal-title":"Curr Opin Gastroenterol"},{"key":"8692_CR10","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1016\/S0016-5107(94)70119-9","volume":"40","author":"JJ Bosco","year":"1994","unstructured":"Bosco JJ, Gordon F, Zelig MP, Heiss F, Horst DA, Howell DA: A reliable method for the endoscopic placement of a nasoenteric feeding tube.\n                           Gastrointest Endosc 1994, 40: 740-743.","journal-title":"Gastrointest Endosc"},{"key":"8692_CR11","doi-asserted-by":"publisher","first-page":"1217","DOI":"10.1007\/s00101-007-1260-3","volume":"56","author":"S Schroder","year":"2007","unstructured":"Schroder S, van Hulst S, Raabe W, Bein B, Wolny A, von Spiegel T: [Nasojejunal enteral feeding tubes in critically ill patients. Successful placement without technical assistance].\n                           Anaesthesist 2007, 56: 1217-1222. 10.1007\/s00101-007-1260-3","journal-title":"Anaesthesist"},{"key":"8692_CR12","doi-asserted-by":"publisher","first-page":"2902","DOI":"10.1111\/j.1572-0241.1999.01434.x","volume":"94","author":"JA Dranoff","year":"1999","unstructured":"Dranoff JA, Angood PJ, Topazian M: Transnasal endoscopy for enteral feeding tube placement in critically ill patients.\n                           Am J Gastroenterol 1999, 94: 2902-2904. 10.1111\/j.1572-0241.1999.01434.x","journal-title":"Am J Gastroenterol"},{"key":"8692_CR13","doi-asserted-by":"publisher","first-page":"661","DOI":"10.1016\/j.gie.2005.04.027","volume":"62","author":"JC Fang","year":"2005","unstructured":"Fang JC, Hilden K, Holubkov R, DiSario JA: Transnasal endoscopy vs. fluoroscopy for the placement of nasoenteric feeding tubes in critically ill patients.\n                           Gastrointest Endosc 2005, 62: 661-666. 10.1016\/j.gie.2005.04.027","journal-title":"Gastrointest Endosc"},{"key":"8692_CR14","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1177\/0884533608314535","volume":"23","author":"S Mahadeva","year":"2008","unstructured":"Mahadeva S, Malik A, Hilmi I, Qua CS, Wong CH, Goh KL: Transnasal endoscopic placement of nasoenteric feeding tubes: outcomes and limitations in non-critically ill patients.\n                           Nutr Clin Pract 2008, 23: 176-181. 10.1177\/0884533608314535","journal-title":"Nutr Clin Pract"},{"key":"8692_CR15","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1177\/0148607103027005349","volume":"27","author":"SJ O'Keefe","year":"2003","unstructured":"O'Keefe SJ, Foody W, Gill S: Transnasal endoscopic placement of feeding tubes in the intensive care unit.\n                           JPEN J Parenter Enteral Nutr 2003, 27: 349-354.","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"8692_CR16","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1016\/j.gie.2006.12.054","volume":"66","author":"SM Wildi","year":"2007","unstructured":"Wildi SM, Gubler C, Vavricka SR, Fried M, Bauerfeind P: Transnasal endoscopy for the placement of nasoenteral feeding tubes: does the working length of the endoscope matter?\n                           Gastrointest Endosc 2007, 66: 225-229. 10.1016\/j.gie.2006.12.054","journal-title":"Gastrointest Endosc"},{"key":"8692_CR17","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1016\/j.gie.2008.01.043","volume":"67","author":"R Sato","year":"2008","unstructured":"Sato R, Watari J, Tanabe H, Fujiya M, Ueno N, Konno Y, Ishikawa C, Ito T, Moriichi K, Okamoto K, Maemoto A, Chisaka K, Kitano Y, Matsumoto K, Ashida T, Kono T, Kohgo Y: Transnasal ultrathin endoscopy for placement of a long intestinal tube in patients with intestinal obstruction.\n                           Gastrointest Endosc 2008, 67: 953-957. 10.1016\/j.gie.2008.01.043","journal-title":"Gastrointest Endosc"},{"key":"8692_CR18","first-page":"47","volume":"39","author":"WK Chang","year":"2005","unstructured":"Chang WK, McClave SA, Chao YC: Simplify the technique of nasoenteric feeding tube placement with a modified suture tie.\n                           J Clin Gastroenterol 2005, 39: 47-49.","journal-title":"J Clin Gastroenterol"},{"key":"8692_CR19","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1097\/00003246-200301000-00006","volume":"31","author":"DP Griffith","year":"2003","unstructured":"Griffith DP, McNally AT, Battey CH, Forte SS, Cacciatore AM, Szeszycki EE, Bergman GF, Furr CE, Murphy FB, Galloway JR, Ziegler TR: Intravenous erythromycin facilitates bedside placement of postpyloric feeding tubes in critically ill adults: a double-blind, randomized, placebo-controlled study.\n                           Crit Care Med 2003, 31: 39-44. 10.1097\/00003246-200301000-00006","journal-title":"Crit Care Med"},{"key":"8692_CR20","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1177\/0148607104028002119","volume":"28","author":"SA Gabriel","year":"2004","unstructured":"Gabriel SA, Ackermann RJ: Placement of nasoenteral feeding tubes using external magnetic guidance.\n                           JPEN J Parenter Enteral Nutr 2004, 28: 119-122. 10.1177\/0148607104028002119","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"8692_CR21","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1007\/s00134-003-2071-x","volume":"30","author":"C Slagt","year":"2004","unstructured":"Slagt C, Innes R, Bihari D, Lawrence J, Shehabi Y: A novel method for insertion of post-pyloric feeding tubes at the bedside without endoscopic or fluoroscopic assistance: a prospective study.\n                           Intensive Care Med 2004, 30: 103-107. 10.1007\/s00134-003-2071-x","journal-title":"Intensive Care Med"},{"key":"8692_CR22","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1378\/chest.125.2.587","volume":"125","author":"H Levy","year":"2004","unstructured":"Levy H, Hayes J, Boivin M, Tomba T: Transpyloric feeding tube placement in critically ill patients using electromyogram and erythromycin infusion.\n                           Chest 2004, 125: 587-591. 10.1378\/chest.125.2.587","journal-title":"Chest"},{"key":"8692_CR23","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1016\/S0261-5614(02)00210-8","volume":"22","author":"CW Lai","year":"2003","unstructured":"Lai CW, Barlow R, Barnes M, Hawthorne AB: Bedside placement of nasojejunal tubes: a randomised-controlled trial of spiral- vs straight-ended tubes.\n                           Clin Nutr 2003, 22: 267-270. 10.1016\/S0261-5614(02)00210-8","journal-title":"Clin Nutr"},{"key":"8692_CR24","doi-asserted-by":"publisher","first-page":"2957","DOI":"10.1001\/jama.1993.03510240069035","volume":"270","author":"JR Le Gall","year":"1993","unstructured":"Le Gall JR, Lemeshow S, Saulnier F: A new Simplified Acute Physiology Score (SAPS II) based on a European\/North American multicenter study.\n                           JAMA 1993, 270: 2957-2963. 10.1001\/jama.270.24.2957","journal-title":"JAMA"},{"key":"8692_CR25","doi-asserted-by":"publisher","first-page":"1614","DOI":"10.1007\/s00134-009-1535-z","volume":"35","author":"U Holzinger","year":"2009","unstructured":"Holzinger U, Kitzberger R, Bojic A, Wewalka M, Miehsler W, Staudinger T, Madl C: Comparison of a new unguided self-advancing jejunal tube with the endoscopic guided technique: a prospective, randomized study.\n                           Intensive Care Med 2009, 35: 1614-1618. 10.1007\/s00134-009-1535-z","journal-title":"Intensive Care Med"},{"key":"8692_CR26","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1111\/j.1365-277X.2006.00674.x","volume":"19","author":"SJ Taylor","year":"2006","unstructured":"Taylor SJ, Pullyblank A, Manara A: Nasointestinal intubation with tiger tubes: a case series indicates risk of mucosal damage.\n                           J Hum Nutr Diet 2006, 19: 147-151. 10.1111\/j.1365-277X.2006.00674.x","journal-title":"J Hum Nutr Diet"}],"container-title":["Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/cc9407.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/cc9407\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/cc9407.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:58:53Z","timestamp":1728305933000},"score":1,"resource":{"primary":{"URL":"https:\/\/ccforum.biomedcentral.com\/articles\/10.1186\/cc9407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1,7]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2011,2]]}},"alternative-id":["8692"],"URL":"https:\/\/doi.org\/10.1186\/cc9407","relation":{},"ISSN":["1364-8535"],"issn-type":[{"value":"1364-8535","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,1,7]]},"assertion":[{"value":"10 November 2010","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 December 2010","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 January 2011","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 January 2011","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"R8"}}