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Nasoenteric tube doppler guided insertion. A case report and review of literature

European Journal of Clinical Nutrition volume 76, pages 907–909 (2022)Cite this article

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Abstract

Nasoenteric tube placement is needed in patients with gastric enteral feeding intolerance or high risk of aspiration. Several techniques are described. Ultrasound is used more commonly for gastric tube placement, but also is described in enteral tube feeding placement. Doppler technique with cold water injection is not described in the literature. We describe a new and easy to realize technique. A case of a 65 years old male patient in the intensive care unit (ICU) with gastroparesis is described. Before beginning a prokinetic drug was administered. In this technique gastric tube placement was bedside assessed with ultrasound, and then the tube was progressed with cold water injection. Duodenal position was confirmed with doppler ultrasound. Ultrasound and doppler technique for nasoenteric tube placement could be a feasible technique to use in the ICU. More studies are needed to assess the effectiveness of the technique.

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Fig. 1: Abdominal X-ray.
Fig. 2: Abdominal Ultrasound.

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Authors and Affiliations

  1. Facultad de Medicina, Departamento de Bioquímica Humana, Universidad de Buenos Aires, Buenos Aires, Argentina

    Sebastián Pablo Chapela

  2. Equipo de Soporte Nutricional, Hospital Británico de Buenos Aires, Buenos Aires, Argentina

    Sebastián Pablo Chapela & María Jimena Reberendo

  3. Servicio de Terapia Intensiva, Hospital Británico de Buenos Aires, Buenos Aires, Argentina

    Emiliano Jorge Descotte

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  1. Sebastián Pablo Chapela
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  2. Emiliano Jorge Descotte
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  3. María Jimena Reberendo
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Contributions

EJD and SPC performed the technique. MJR and SPC wrote the article.

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Correspondence to Sebastián Pablo Chapela.

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Competing interests

EJD and MJR declare no competing interests, and SPC, have received professional fees from Nutricia Argentina and Fresenius-Kabi for advisory boards and lectures.

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Chapela, S.P., Descotte, E.J. & Reberendo, M.J. Nasoenteric tube doppler guided insertion. A case report and review of literature. Eur J Clin Nutr 76, 907–909 (2022). https://doi.org/10.1038/s41430-021-01033-x

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