Evidence map›Paper›PMID 31367879›Full record

ArticleDigestive diseases and sciences2020

Endoscopic Nasoenteral Feeding Tube Fixation with Hemoclip Reduces Tube Dislodgement.

Jisoo Han, Hee Kyong Na, Ji Yong Ahn, Jeong Hoon Lee, Do Hoon Kim, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung

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Article in Digestive diseases and sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jisoo HanDivision of Gastroenterology, Department of Internal Medicine, Asan Medical Center, Asan Digestive Disease Research Institute, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Hee Kyong NaDivision of Gastroenterology, Department of Internal Medicine, Asan Medical Center, Asan Digestive Disease Research Institute, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Ji Yong AhnDivision of Gastroenterology, Department of Internal Medicine, Asan Medical Center, Asan Digestive Disease Research Institute, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea. ji110@hanmail.net.ORCID 0000-0002-0030-3744
Jeong Hoon LeeDivision of Gastroenterology, Department of Internal Medicine, Asan Medical Center, Asan Digestive Disease Research Institute, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Do Hoon KimDivision of Gastroenterology, Department of Internal Medicine, Asan Medical Center, Asan Digestive Disease Research Institute, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Kee Wook JungDivision of Gastroenterology, Department of Internal Medicine, Asan Medical Center, Asan Digestive Disease Research Institute, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Kee Don ChoiDivision of Gastroenterology, Department of Internal Medicine, Asan Medical Center, Asan Digestive Disease Research Institute, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Ho June SongDivision of Gastroenterology, Department of Internal Medicine, Asan Medical Center, Asan Digestive Disease Research Institute, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Gin Hyug LeeDivision of Gastroenterology, Department of Internal Medicine, Asan Medical Center, Asan Digestive Disease Research Institute, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Hwoon-Yong JungDivision of Gastroenterology, Department of Internal Medicine, Asan Medical Center, Asan Digestive Disease Research Institute, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsSpontaneous retrograde migration of nasoenteral feeding tubes is common in clinical practice. The aim of the present study was to evaluate the effectiveness of nasoenteral feeding tube tip fixation with hemoclips to prevent tube dislodgement.

methodsWe retrospectively reviewed patients who underwent insertion of an endoscopic nasoenteral feeding tube with or without tube tip fixation with hemoclips at the Asan Medical Center in Korea from January 2016 to December 2017. We compared the incidence of tube dislodgment and procedure-related complications between the two groups.

resultsOf the total 225 procedures, 72 were performed using the clip-assisted method, while 153 were performed using the standard non-clip-assisted method. Tube dislodgement occurred in two (2.8%) cases in the clipping group and in 26 (17.0%) in the non-clipping group (p = 0.003). Non-clipping group had a sevenfold higher risk of tube dislodgement compared to clipping group after adjustments in multivariable logistic regression (adjusted OR 7.97, 95% CI 1.82-35.00). The procedure time was not significantly different between the two groups (17.6 ± 8.5 min in the clipping group vs. 17.8 ± 9.4 min in the non-clipping group, p = 0.872). In addition, procedure-related complications, such as bleeding, aspiration pneumonia, Mallory-Weiss tear, ileus, and tube obstruction, were not different between the two groups. Achieving target calorie intake took 10.4 ± 10.5 days in the clipping group and 7.9 ± 7.9 days in the non-clipping group (p = 0.293).

conclusionClip-assisted fixation of nasoenteral feeding tube was effective in preventing tube dislodgement.

Indexed as

AgedEndoscopy, GastrointestinalEnteral NutritionEquipment DesignFemaleForeign-Body MigrationHumansMaleMiddle AgedRetrospective StudiesRisk FactorsTime FactorsClipEndoscopyEnteral feedingEnteral nutrition

Identifiers

PMID31367879

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.