A Modified Method for Blind Bedside Placement of Post-pyloric Feeding Tube.
A Modified Method for Blind Bedside Placement of Post-pyloric Feeding Tube.
To compare efficacy and safety of a new modified post-pyloric feeding tube bedside
 catheterization with Corpak 10-10-10 protocol and electromagnetic guided catheterization for
 treatment of patients with dysphagia and at high-risk of aspiration pneumonia. We conducted a
 single-center, single-blinded, and randomized controlled clinical trial. A total of 63
 patients were treated with the non-gravity type CORFLO gastrointestinal feeding tube between
 2017.1 and 2019.1 using different procedures: in the M group, patients underwent modified
 post-pyloric feeding tube bedside placement; in C group, patients underwent conventional
 Corpak protocol; in EM group, patients received standard electromagnetic guided tube
 placement.
Inclusion Criteria:

 -  All patients had dysphagia that could not be alleviated within 48 hours

 -  High-risk status with aspiration pneumonia, including consciousness disorder caused by
 various diseases, severe dementia, bed rest, gastroesophageal reflux, hiccup, gastric
 retention, achalasia of pyloric.

 -  Can't receive nasogastric tube feeding.

 Exclusion Criteria:

 -  The previous history of upper abdominal surgery.

 -  Gastroduodenal ulcer and esophagogastric varices;

 -  Severe sinusitis and nasal bone fracture;

 -  Patients with recent gastrointestinal bleeding, intestinal obstruction, ischemic bowel
 disease, and epistaxis;

 -  Patients with electromagnetically-guided catheterization should additionally exclude
 implantable cardiac defibrillator, implantable cardiac pacemaker or diaphragm
 pacemaker.