Study on 49 adult patients with nasogastric feeding tubes treated at 3 departments of Bach Mai Hospital. Results: almost patients were over 60 years old (53.06%), 75.5% of patients were provided sufficient protein amount per day. 20.4% of patients were provided high protein amount. 100% of patients with nasogastric feeding tubes were infused simultaneously. 44.9% patients had concomitant infections. 10.20% patients experienced edema when hospitalizing. Total energy per day was between 1700 and 2300 kcal. No one had feeding tube-related pulmonary complications. 8.16% patients had nasal ulcer, 4.08% had pressure ulcer, and 7.2% had gastrointestinal disturbances. 83.6% patients were provided processing foods.
Intubation, Gastrointestinal ; Nutritional Status ; Delivery of Health Care

Humans ; Enteral Nutrition ; Intubation, Gastrointestinal ; Gastrointestinal Hemorrhage ; Platelet-Rich Plasma

Diagnostic upper gastrointestinal endoscopy is a very commonly performed procedure. Physicians use it as a safe diagnostic tool to evaluate patients with a wide range of problems and complaints, but it can cause several complications in few cases. Esophageal perforation is a rare complication of upper gastrointestinal endoscopy, but it is associated with a relatively high mortality rate. Surgical management is required in most such cases. However, medical treatment can be considered for selected patients who are without a large perforation or systemic effects such as sepsis. Deep neck abscess can develop in patients who have had difficult intubations, and this may be related to retropharyngeal trauma or unapparent perforations. We experienced a case of deep neck infection due to an esophageal perforation that developed as a complication of diagnostic upper gastrointestinal endoscopy, and we successfully treated this patient with incision and drainage.
Abscess ; Endoscopy, Gastrointestinal ; Esophageal Perforation ; Humans ; Intubation ; Neck ; Sepsis

Nasogastric (NG) intubation is frequently performed in critically ill patients. Although this procedure is associated with considerable complications, physicians tend to neglect its potential complications. There is also rare case of the reports of perforation of the stomach by an NG tube in adults. We report here on a case of gastric perforation that was caused by an NG tube in a peritoneal dialysis patient who required NG tube insertion for enteral feeding, with a review of the relevant literature.
Adult ; Critical Illness ; Enteral Nutrition ; Humans ; Intubation ; Intubation, Gastrointestinal* ; Peptic Ulcer Perforation ; Peritoneal Dialysis* ; Stomach

Demand for colonoscopy is increasing because it is an important tool not only for screening of colorectal neoplasm but also for resection of such lesions in early stage. Cecal intubation requires expertise on shortening of the examination time and improvement of the cecal intubation rate without causing pain to the patients. About 5% to 10% of patients still experience difficulties or failure of the cecal intubation. There are number of factors that affect the difficulty of the colonoscopy such as technical skill of the endoscopist, angulated sigmoid, redundant colon, advanced age, female gender, diverticular disease, and inadequate bowel preparation. In an effort to overcome these situations and to and aiding colonoscope insertion with reducing pain, various methods have introduced. Like this review discusses ways to approach patients with technically difficult colons for achieving the successful cecal intubation.
Colon ; Colon, Sigmoid ; Colonoscopes ; Colonoscopy ; Colorectal Neoplasms ; Female ; Humans ; Intubation ; Intubation, Gastrointestinal ; Mass Screening

A case of a congenital diaphragmatic hernia was operated upon at our hospital employing a combination of light general anesthesia and epidural block, with effective results and post-operative analgesia. Cases with congenital anomalies, prematurity and neonatal respiratory distress syndrome(RDS) are at great risk during general anesthesia. To insure a good ariway and to prevent aspiration of stomach contents, tracheal intubation was done and light general anesthesia(N2-O2) administered. Unver this state candal block was done. By this method, good abdominal relaxation was obtained and the amount of inhalation anesthetics could be reduced. The author believe that in this group of patients, epidural block in combination with light general anesthesia is a good and safe method of administering anesthesia.
Analgesia ; Anesthesia ; Anesthesia, Epidural* ; Anesthesia, General ; Anesthetics, Inhalation ; Gastrointestinal Contents ; Hernia* ; Hernia, Diaphragmatic ; Humans ; Intubation ; Relaxation

BACKGROUND/AIMS: This study was conducted to establish a guideline on the utilizing of feeding pump in patients requiring enteral tube feeding. METHODS: As a first step, textbooks on nutrition and guidelines from regional clinical nutrition societies were analyzed. Afterwards, data on the efficacy, safety, and practicality of feeding pump application were collected and evaluated by systematically reviewing the related literature. As data sources, 8 domestic databases including KoreaMed and global databases such as Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library were utilized. A total of 2,016 related articles was selected by applying the keyword "(enteral feeding.mp AND pump.mp)". RESULTS: Textbooks and guidelines were not able to draw conclusions on the effects of the feeding pump because the injection speed, tube size, and etcetera were different for enteral feeding. Feeding pump assisted enteral tube feeding was an efficient, safe, and practical procedure for reducing maladjustment-related complications of enteral tube feeding, which are obvious obstacles for maintaining nutritional balances in patients requiring tube feeding. CONCLUSIONS: Feeding pump application can be considered an efficient and safe measure that is acceptable in patients on small intestinal tube feeding, critically-ill patients on gastro-intestinal tube feeding, premature babies, and critically-ill or severely malnourished children (recommendation grade D).
Critical Illness ; Databases, Factual ; *Enteral Nutrition ; Guidelines as Topic ; Humans ; Infant, Newborn ; Intubation, Gastrointestinal

PURPOSE: The necessity of nasogastric decompression after abdominal surgical procedures has been increasingly questioned for several years. Traditionally, nasogastric decompression is a mandatory procedure after classical pancreaticoduodenectomy (PD); however, we still do not know whether or not it is necessary for PD. The present study was designed to assess the clinical benefit of nasogastric decompression after PD. METHODS: Between July 2004 and May 2007, 41 consecutive patients who underwent PD were enrolled in this study. Eighteen patients were enrolled in the nasogastric tube (NGT) group and 23 patients were enrolled in the no NGT group. RESULTS: There were no differences in the demographics, pathology, co-morbid medical conditions, and pre-operative laboratory values between the two groups. In addition, the passage of flatus (P = 0.963) and starting time of oral intake (P = 0.951) were similar in both groups. In the NGT group, 61% of the patients complained of discomfort related to the NGT. Pleural effusions were frequent in the NGT group (P = 0.037); however, other post-operative complications, such as wound dehiscence and anastomotic leakage, occurred similarly in both groups. There was one case of NGT re-insertion in the NGT group. CONCLUSION: Routine nasogastric decompression in patients undergoing PD is not mandatory because it has no clinical advantages and increases patient discomfort.
Anastomotic Leak ; Decompression ; Demography ; Flatulence ; Humans ; Intubation, Gastrointestinal ; Pancreaticoduodenectomy ; Pleural Effusion

BACKGROUND: Many endoscopists generally use topical pharyngeal anesthesia as a premedication for upper gastrointestinal endoscopy. However, the use of topical pharyngeal anesthesia for upper GI endoscopy has been debated since its inception. The purpose of this study was to compare the effect of no premedication to the effect of a lidocaine premedication. METHODS: One hundred consecutive examinees scheduled for diagnostic upper endoscopy, divided into two group 50, were randomly assigned to receive topical lidocaine spray or without. The test group involved subjects not using topical pharyngeal anesthesia and the control group involved subjects using it without sedation. The collected Data included intubation time (seconds), procedure time (minutes), pulse rate, blood pressure, the difficulty of the endoscopy (VAS), anxiety (STAI), and discomfort. Examinees were also asked whether they would agree to another endoscopy if their doctor thought it was medically necessary. RESULTS: In the response to the amount of cough, belching, bloating or the degree of difficulty in endoscopic procedure, there was no statistically significant difference between the test group and the control group. The intubation time was significantly different comparing the no-premedication group versus lidocaine premedication group. However, the procedure time was not significantly different. In the normotensive group, the changes of systolic blood pressure during endoscopy were significantly higher in the test group than in the control group. CONCLUSION: Evaluating all variables, there was no statistically significant difference between the test group and the control group.
Anesthesia* ; Anxiety ; Blood Pressure ; Cough ; Endoscopy ; Endoscopy, Gastrointestinal* ; Eructation ; Heart Rate ; Intubation ; Lidocaine ; Premedication

BACKGROUND: A nasogastric tube (NGT) is commonly inserted into patients undergoing abdominal surgery to decompress the stomach during or after surgery. However, for anatomic reasons, the insertion of NGTs into anesthetized and intubated patients may be challenging. We hypothesized that the use of a tube exchanger for NGT insertion could increase the success rate and reduce complications. METHODS: One hundred adult patients, aged 20–70 years, who were scheduled for gastrointestinal surgeries with general anesthesia and NGT insertion were enrolled in our study. The patients were randomly allocated to the tube-exchanger group or the control group. The number of attempts, the time required for successful NGT insertion, and the complications were noted for each patient. RESULTS: In the tube-exchanger group, the success rate of NGT insertion on the first attempt was 92%, which is significantly higher than 68%, the rate in the control group (P = 0.007). The time required for successful NGT insertion in the tube-exchanger group was 18.5 ± 8.2 seconds, which is significantly shorter than the control group, 75.1 ± 9.8 seconds (P < 0.001). Complications such as laryngeal bleeding and the kinking and knotting of the NGT occurred less often in the tube-exchanger group. CONCLUSIONS: There were many advantages in using a tube-exchanger as a guide to inserting NGTs in anesthetized and intubated patients. Compared to the conventional technique, the use of a tube-exchanger resulted in a higher the success rate of insertion on the first attempt, a shorter procedure time, and fewer complications.
Adult ; Anesthesia, General ; Digestive System Surgical Procedures ; Hemorrhage ; Humans ; Intubation, Gastrointestinal ; Preoperative Care ; Stomach