scholarly journals Pre-emptive active drainage of reflux (PARD) in Ivor-Lewis oesophagectomy with negative pressure and simultaneous enteral nutrition using a double-lumen open-pore film drain (dOFD)

2022 ◽  
Author(s):  
Gunnar Loske ◽  
Johannes Müller ◽  
Wolfgang Schulze ◽  
Burkhard Riefel ◽  
Christian Theodor Müller
Keyword(s):  
Enteral Nutrition ◽  
Negative Pressure ◽  
Feeding Tube ◽  
Vacuum Pump ◽  
Anastomotic Healing ◽  
Double Lumen ◽  
Ivor Lewis ◽  
Endoscopic Control ◽  
Postoperative Reflux ◽  
Continuous Suction

Abstract Background Postoperative reflux can compromise anastomotic healing after Ivor-Lewis oesophagectomy (ILE). We report on Pre-emptive Active Reflux Drainage (PARD) using a new double-lumen open-pore film drain (dOFD) with negative pressure to protect the anastomosis. Methods To prepare a dOFD, the gastric channel of a triluminal tube (Freka®Trelumina, Fresenius) is coated with a double-layered open-pore film (Suprasorb®CNP drainage film, Lohmann & Rauscher) over 25 cm. The ventilation channel is blocked. The filmcoated segment is placed in the stomach and the intestinal feeding tube in the duodenum. Negative pressure is applied with an electronic vacuum pump (− 125 mmHg, continuous suction) to the gastric channel. Depending on the findings in the endoscopic control, PARD will either be continued or terminated. Results PARD was used in 24 patients with ILE and started intraoperatively. Healing was observed in all the anastomoses. The median duration of PARD was 8 days (range 4–21). In 10 of 24 patients (40%) there were issues with anastomotic healing which we defined as “at-risk anastomosis”. No additional endoscopic procedures or surgical revisions to the anastomoses were required. Conclusions PARD with dOFD contributes to the protection of anastomosis after ILE. Negative pressure applied to the dOFD (a nasogastric tube) enables enteral nutrition to be delivered simultaneously with permanent evacuation and decompression.

Evaluation of Delivery of Enteral Nutrition in Critically Ill Patients Receiving Mechanical Ventilation

2008 ◽  
Vol 17 (1) ◽  
pp. 53-61 ◽  
Author(s):  
Debra O’Meara ◽  
Eduardo Mireles-Cabodevila ◽  
Fran Frame ◽  
A. Christine Hummell ◽  
Jeffrey Hammel ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Enteral Nutrition ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Feeding Tube ◽  
Feeding Tubes ◽  
Academic Center ◽  
Specific Step ◽  
Feeding Process ◽  
Medical Intensive Care

Background Published reports consistently describe incomplete delivery of prescribed enteral nutrition. Which specific step in the process delays or interferes with the administration of a full dose of nutrients is unclear. Objectives To assess factors associated with interruptions in enteral nutrition in critically ill patients receiving mechanical ventilation. Methods An observational prospective study of 59 consecutive patients who required mechanical ventilation and were receiving enteral nutrition was done in an 18-bed medical intensive care unit of an academic center. Data were collected prospectively on standardized forms. Steps involved in the feeding process from admission to discharge were recorded, each step was timed, and delivery of nutrition was quantified. Results Patients received approximately 50% (mean, 1106.3; SD, 885.9 Cal) of the prescribed caloric needs. Enteral nutrition was interrupted 27.3% of the available time. A mean of 1.13 interruptions occurred per patient per day; enteral nutrition was interrupted a mean of 6 (SD, 0.9) hours per patient each day. Prolonged interruptions were mainly associated with problems related to small-bore feeding tubes (25.5%), increased residual volumes (13.3%), weaning (11.7%), and other reasons (22.8%). Placement and confirmation of placement of the small-bore feeding tube were significant causes of incomplete delivery of nutrients on the day of admission. Conclusions Delivery of enteral nutrition in critically ill patients receiving mechanical ventilation is interrupted by practices embedded in the care of these patients. Evaluation of the process reveals areas to improve the delivery of enteral nutrition.

scholarly journals The Use of Continuous Suction Negative Pressure Instead of Pressure Dressing

1955 ◽  
Vol 142 (2) ◽  
pp. 252-256 ◽  
Author(s):  
Richard S. Silvis ◽  
Leo E. Potter ◽  
Donald W. Roblnson ◽  
William F. Hughes
Keyword(s):  
Negative Pressure ◽  
Continuous Suction ◽  
Pressure Dressing

Does the Use of an Enteral Feeding Tube With a pH-Sensitive Tip Facilitate Enteral Nutrition?

1993 ◽  
Vol 14 (2) ◽  
pp. 215-217 ◽  
Author(s):  
Carol S. Ireton-Jones ◽  
Jean Cheney ◽  
Ramona Young ◽  
John Hunt ◽  
Gary Purdue
Keyword(s):  
Enteral Nutrition ◽  
Enteral Feeding ◽  
Feeding Tube ◽  
Ph Sensitive ◽  
Enteral Feeding Tube

Evaluation of a new double lumen naso-jejunal feeding tube following pancreatico-duodenectomy: A pilot study

Pancreatology ◽  
2012 ◽  
Vol 12 (3) ◽  
pp. e15-e16
Author(s):  
Mary Phillips ◽  
Clio Myers ◽  
Ben Cresswell ◽  
Neville Menezes ◽  
Angela Riga ◽  
...  
Keyword(s):  
Pilot Study ◽  
Feeding Tube ◽  
Double Lumen

scholarly journals Tracheal laceration following double-lumen intubation during Ivor Lewis esophagogastrectomy

2008 ◽  
Vol 7 (5) ◽  
pp. 866-868 ◽  
Author(s):  
N. Barbetakis ◽  
G. Samanidis ◽  
D. Paliouras ◽  
C. Tsilikas
Keyword(s):  
Double Lumen ◽  
Ivor Lewis ◽  
Tracheal Laceration

An Unusual Case of Diarrhoea during Enteral Nutrition

1986 ◽  
Vol 31 (4) ◽  
pp. 249-250
Author(s):  
D. T. Hansell
Keyword(s):  
Small Intestine ◽  
Enteral Nutrition ◽  
Unusual Case ◽  
Feeding Tube

An unusual case of diarrhoea during enteral nutrition is reported. Disintegration of the capsule of a mercury-tipped enteric feeding tube resulted in spillage of mercury into the small intestine. This fault was discovered some days later when the tube was removed due to coincidental blockage of its lumen.

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