A New Self-made Nasogastric Tube Fixation Device for Esophageal Cancer Patients after Esophagectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHOUHong-xia ,  LINYi-dan

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

LINYi-dan, Email: yidanlin.lin@hotmail.com

Keywords：

Esophageal cancer; Nasogastric tube fixation; Gastrointestinal decompression

DOI：

10.7507/1007-4848.20140023

Video：

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Objective To investigate clinical outcomes of a new self-made nasogastric tube (NGT) fixation device. Methods From January 2012 to May 2013, 76 consecutive patients with esophageal cancer who underwent esophagectomy by a same surgical group in West China Hospital were included in this study. There were 62 male and 14 female patients with their average age of 60.7 years. Clinical outcomes of the NGT fixation device were prospectively evaluated from the operation day to patients' resumption of oral intake (usually 6 days postoperatively), or the time when NGT fell off accidentally or patients asked to exit this study. The main outcomes included whether NGT fell off, and caused or increased patients' discomfort. Results The operation time of the 76 patients was 192±12 minutes. Postoperatively, 1 patient died of refractory pulmonary infection and respiratory failure before further treatment was refused by the patient and relatives. All the patients completed this study. There was no NGT falling off or severe patients' discomfort. Three patients complained obvious but tolerable face compression with mild discomfort. Conclusions This new fixation device can effectively prevent NGT from falling off. Further clinical trial is needed to investigate its clinical value.

Citation： ZHOUHong-xia, LINYi-dan. A New Self-made Nasogastric Tube Fixation Device for Esophageal Cancer Patients after Esophagectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2014, 21(1): 87-89. doi: 10.7507/1007-4848.20140023 Copy

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2.	Briel JA.Risk factors for ischemia.leak, and stricture of esophageal anastomosis:gastric pull-up versus colon interposition.J Am Coll Surg, 2004 (198):536-541.
3.	Raymond DP.The esophageal anastomosis:traditional methods to prevent leak.J Gastrointest Surg, 2009, 13 (9):1555-1557.
4.	Reavis KM.The esophageal anastomosis:how improving blood supply affects leak rate.J Gastrointest Surg, 2009, 13 (9):1558-1560.
5.	Kato S, Masahiko O, Aida K, et al.Clinical usefulness of the percutaneous trans esophageal gastro-tubing (PTEG) for decompression of the bowels and for transintestinal nutrition].J Nippon Med Sch, 2002, 69:386-389.
6.	Santos G H.Decompression of the gastrointestinal tract after esophageal operations:how to do it.J Am Coll Surg, 1997, 185 (4):410-411.
7.	Lin Cheng-hui, LIU NJ, LEE C S, et al.Nasogastric feeding tube placement in patients with esophageal Cancer:application of ultrathin transnasal endoscopy.Gastrointest Endosc, 2006, 64 (1):104-107.
8.	蔣朱明, 吳蔚然.腸內營養, 主編.第2版.北京:人民衛生出版社, 2002.221-230.
9.	李小寒, 尚少梅, 主編.飲食與營養.北京:人民衛生出版社, 2006:210.
10.	黃冰, 張立軍, 劉士鳳, 等.改良后的胃管固定方法.中國實用護理雜志, 2007, 23 (35):10.
11.	熊玉梅.食管癌術后兩種胃管固定方法的應用與比較.現代護理, 2007, 13 (7):635-636.
12.	沈莉.改進的胃管及十二指腸營養管的固定方法.中國醫藥指南, 2012, 10 (31):488-489.
13.	張丹梅.食管癌術后胃管兩種固定方法的比較.中外健康文摘, 2013, 10 (4):376-376.
14.	劉靜.食管癌術后胃管意外脫落原因分析及防范對策.中國實用醫藥, 2012, 7 (12):159-160.
15.	Ahmed A, Aggarwal M, Watson E.Esophageal perforation:a complication of nasogastric tube placement.Am J Emerg Med, 1998, 16 (1):64-66.
16.	Tai CM, Wang HP, Lee CT, et al.Esophageal obstruction by a tangled nasogastric tube.Gastrointest Endosc, 2010, 72 (5):1057-1058.
17.	朱麗萍.食管癌術后胃管營養管的固定方法改進效果比較.山西醫藥雜志, 2011, 40 (10):1045.
18.	鄢海霞.胃腸及鼻腸管固定方法改進的效果分析.齊魯護理雜志, 2012, 18 (2):8-8.

1. Dodd AR, Goodnight JE, Pu LL.Successful management of cervicoesophageal anastomosis leak after microsurgical esophageal Reconstruction:a case report and review of the literature.Ann Plast Surg, 2010, 65 (1):110-114.
2. Briel JA.Risk factors for ischemia.leak, and stricture of esophageal anastomosis:gastric pull-up versus colon interposition.J Am Coll Surg, 2004 (198):536-541.
3. Raymond DP.The esophageal anastomosis:traditional methods to prevent leak.J Gastrointest Surg, 2009, 13 (9):1555-1557.
4. Reavis KM.The esophageal anastomosis:how improving blood supply affects leak rate.J Gastrointest Surg, 2009, 13 (9):1558-1560.
5. Kato S, Masahiko O, Aida K, et al.Clinical usefulness of the percutaneous trans esophageal gastro-tubing (PTEG) for decompression of the bowels and for transintestinal nutrition].J Nippon Med Sch, 2002, 69:386-389.
6. Santos G H.Decompression of the gastrointestinal tract after esophageal operations:how to do it.J Am Coll Surg, 1997, 185 (4):410-411.
7. Lin Cheng-hui, LIU NJ, LEE C S, et al.Nasogastric feeding tube placement in patients with esophageal Cancer:application of ultrathin transnasal endoscopy.Gastrointest Endosc, 2006, 64 (1):104-107.
8. 蔣朱明, 吳蔚然.腸內營養, 主編.第2版.北京:人民衛生出版社, 2002.221-230.
9. 李小寒, 尚少梅, 主編.飲食與營養.北京:人民衛生出版社, 2006:210.
10. 黃冰, 張立軍, 劉士鳳, 等.改良后的胃管固定方法.中國實用護理雜志, 2007, 23 (35):10.
11. 熊玉梅.食管癌術后兩種胃管固定方法的應用與比較.現代護理, 2007, 13 (7):635-636.
12. 沈莉.改進的胃管及十二指腸營養管的固定方法.中國醫藥指南, 2012, 10 (31):488-489.
13. 張丹梅.食管癌術后胃管兩種固定方法的比較.中外健康文摘, 2013, 10 (4):376-376.
14. 劉靜.食管癌術后胃管意外脫落原因分析及防范對策.中國實用醫藥, 2012, 7 (12):159-160.
15. Ahmed A, Aggarwal M, Watson E.Esophageal perforation:a complication of nasogastric tube placement.Am J Emerg Med, 1998, 16 (1):64-66.
16. Tai CM, Wang HP, Lee CT, et al.Esophageal obstruction by a tangled nasogastric tube.Gastrointest Endosc, 2010, 72 (5):1057-1058.
17. 朱麗萍.食管癌術后胃管營養管的固定方法改進效果比較.山西醫藥雜志, 2011, 40 (10):1045.
18. 鄢海霞.胃腸及鼻腸管固定方法改進的效果分析.齊魯護理雜志, 2012, 18 (2):8-8.

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A New Self-made Nasogastric Tube Fixation Device for Esophageal Cancer Patients after Esophagectomy

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