Review
Multidisciplinary Sciences
Rong Peng, Hailong Li, Lijun Yang, Linan Zeng, Qiusha Yi, Peipei Xu, Xiangcheng Pan, Lingli Zhang
Summary: This study found that prokinetics may improve tolerance to gastric feeding in critically ill adults to some extent. While prokinetics can reduce ICU and hospital length of stay, the certainty of this evidence is low, and they did not decrease the risks of reported adverse events or all-cause mortality among critically ill adults.
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Chenxi Wu, Lance T. Hall, David C. Brandon
Summary: An 82-year-old man underwent outpatient nuclear medicine gastric-emptying scintigraphy for dysphagia and regurgitation. The scintigraphy showed delayed gastric emptying but subsequent CT scan and upper gastrointestinal fluoroscopy revealed normal stomach size and function, with an enormously dilated esophagus indicating achalasia. It is important to pay attention to the location and shape of the visualized stomach and recognize that a significantly dilated esophagus can mimic an elongated stomach during scintigraphy.
CLINICAL NUCLEAR MEDICINE
(2022)
Article
Nutrition & Dietetics
Bridget Hron, Thomas Ng, Stephan Voss, Rachel Rosen
Summary: Blends and formula have similar rates of delayed gastric emptying, although blends have a higher percentage of gastric residual. This preliminary work suggests that blends compare favorably to formula.
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
(2023)
Article
Gastroenterology & Hepatology
Lai Wei, Rajan Singh, Se Eun Ha, Alyce M. Martin, Lauren A. Jones, Byungchang Jin, Brian G. Jorgensen, Hannah Zogg, Tyler Chervo, Andres Gottfried-Blackmore, Linda Nguyen, Aida Habtezion, Nick J. Spencer, Damien J. Keating, Kenton M. Sanders, Seungil Ro
Summary: The study utilized a transgenic mouse line specific to EC cells to investigate the pathophysiologic roles of 5-HT deficiency in gastric motility. Findings indicated a new mechanism of 5-HT deficiency in idiopathic gastroparesis.
Article
Health Care Sciences & Services
Yisong Cheng, Chaoyue Chen, Hao Yang, Min Fu, Xi Zhong, Bo Wang, Zhi Hu, Min He, Zhongwei Zhang, Xiaodong Jin, Yan Kang, Qin Wu
Summary: This study compared the efficacy and safety of domperidone administered via the feeding tube versus intravenous metoclopramide in critically ill patients with EFI. The findings suggest that tube feeding domperidone was more effective in improving enteral nutrition delivery performance in these patients.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
Article
Multidisciplinary Sciences
Shih-Hao Mao, Bor-Shiuan Shyr, Shih-Chin Chen, Shin-E Wang, Yi-Ming Shyr, Bor-Uei Shyr
Summary: The study found that robotic pancreaticouodenectomy (RPD) had a lower incidence of delayed gastric emptying (DGE) compared to open pancreaticouodenectomy (OPD). Nausea/vomiting, jaundice, malignancy, and lymph node involvement were identified as significant risk factors for DGE. Intraoperative blood loss and postoperative complications were not significantly associated with DGE, but the hospital stay was longer in patients with DGE.
SCIENTIFIC REPORTS
(2022)
Article
Oncology
Marco Baia, Lorenzo Conti, Sandro Pasquali, Catherine Sarre-Lazcano, Carlo Abatini, Stefano Piero Bernardo Cioffi, Serena Della Valle, Giorgio Greco, Raffaella Vigorito, Amanda Casirati, Paolo Proto, Cecilia Gavazzi, Alessandro Gronchi, Marco Fiore
Summary: This study analyzed cases of 100 patients with primary retroperitoneal sarcoma and found that delayed gastric emptying (DGE) is a common complication, especially after multivisceral resection. DGE is associated with prolonged hospital stay, ICU admission, and other complications. Patient comorbidities and tumor size are independent risk factors for DGE.
ANNALS OF SURGICAL ONCOLOGY
(2022)
Article
Mechanics
Sharun Kuhar, Jae Ho Lee, Jung-Hee Seo, Pankaj J. Pasricha, Rajat Mittal
Summary: This study simulates the mixing, breakdown, and emptying process of a liquid meal containing protein in a model of a human stomach, and quantifies the effect of stomach motility on the rate of food breakdown.
Article
Surgery
Mitsuhisa Takatsuki, Masaaki Hidaka, Koji Natsuda, Tomohiko Adachi, Shinichiro Ono, Takashi Hamada, Tota Kugiyama, Shinichiro Ito, Kengo Kanetaka, Susumu Eguchi
Summary: In both O and S groups, the incidence of delayed gastric emptying was significantly lower compared to the control group. In the S group, there was a higher rate of fluid collection along the cutting surface of the liver on CT scans, but a lower incidence of bile leakage, indicating that the collected fluid in the S group was likely ascites without bile.
ASIAN JOURNAL OF SURGERY
(2021)
Article
Surgery
Sven E. Eriksson, Ping Zheng, Inanc S. Sarici, Xinxin Shen, Blair A. Jobe, Shahin Ayazi
Summary: This study investigates the relationship between delayed gastric emptying (DGE) and outcomes of magnetic sphincter augmentation (MSA) surgery. It found that mild-to-moderate DGE diminishes surgical outcomes in the short term, but by 1 year, outcomes become comparable and remain stable at 2 years. Severe DGE may result in suboptimal surgical outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Biology
Jana Enderes, Christiane Pillny, Hanno Matthaei, Steffen Manekeller, Joerg C. Kalff, Tim R. Glowka
Summary: There is no difference in the occurrence and severity of delayed gastric emptying in obese patients compared to non-obese patients after pancreatic surgery. The mortality rate does not differ between the two groups.
Article
Surgery
Giovanni Marchegiani, Anthony Di Gioia, Tommaso Giuliani, Michela Lovo, Eleonora Vico, Marco Cereda, Claudio Bassi, Luca Gianotti, Roberto Salvia
Summary: This study aimed to characterize delayed gastric emptying (DGE), with a focus on its subtypes and related predictors. The results showed that DGE consists of two different subtypes, with the primary subtype resolving earlier and its occurrence potentially reduced by pylorus preservation. For the secondary subtype, clinicians should focus on preventing and treating other triggering complications. The diagnosis of the DGE subtype has critical therapeutic implications and paves the way for further systematic studies.
Article
Nutrition & Dietetics
Nick Goelen, Pieter Janssen, Jan Tack, John Morales, Tine Honinx, Greet van den Berghe, Michael P. Casaer, Jan Gunst
Summary: A pilot study in critically ill patients showed no significant correlation between balloon-assessed gastric motility and emptying. The feasibility and safety profile of the balloon tube appear to be similar to that of standard nasogastric tubes, with a high success rate of tube placement but also instances of balloon leakage leading to adverse events.
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
(2021)
Article
Surgery
Kiyotaka Hosoda, Akira Shimizu, Koji Kubota, Tsuyoshi Notake, Hitoshi Masuo, Takahiro Yoshizawa, Hiroki Sakai, Tomohiko Ikehara, Koya Yasukawa, Hikaru Hayashi, Yuji Soejima
Summary: Background: Although early enteral nutrition (EEN) is commonly practiced after pancreaticoduodenectomy (PD), its impact on postoperative complications and nutritional status remains unclear. Methods: A total of 143 PD patients were studied to investigate the effects of EEN on delayed gastric emptying (DGE) and nutritional status. The results showed that EEN was associated with a lower incidence of grade B/C DGE and better nutritional status at postoperative month 1. Conclusion: Early enteral nutrition can reduce the occurrence of clinically relevant DGE and improve nutritional status in the early postoperative period after PD.
WORLD JOURNAL OF SURGERY
(2023)
Article
Nutrition & Dietetics
Maria Rosaria Marchili, Antonella Diamanti, Valeria Zanna, Giulia Spina, Cristina Mascolo, Marco Roversi, Benedetta Guarnieri, Gianluca Mirra, Giulia Testa, Umberto Raucci, Antonino Reale, Alberto Villani
Summary: Nutritional rehabilitation with naso-gastric feeding (NGF) is crucial for weight restoration in hospitalized anorexia nervosa (AN) patients. Patients treated with NGF have a lower BMI on admission and discharge, longer hospital stay, and a longer time to relapse compared to patients without NGF. Early NGF intervention is associated with a shorter length of hospitalization and facilitates faster recovery.
Article
Nutrition & Dietetics
Alexandra Mitchell, Rowan Clemente, Claire Downer, Frances Greer, Kaylee Allan, Avril Collinson, Stephen Taylor
NUTRITION IN CLINICAL PRACTICE
(2019)
Article
Nursing
Stephen J. Taylor, Kaylee Allan, Rowan Clemente
INTENSIVE AND CRITICAL CARE NURSING
(2019)
Article
Nutrition & Dietetics
Stephen J. Taylor
NUTRITION IN CLINICAL PRACTICE
(2020)
Article
Radiology, Nuclear Medicine & Medical Imaging
Stephen Taylor, Alex R. Manara
Summary: X-ray checks for nasogastric tube position are common and effective in detecting unsafe placements, with potential delays in feeding and drug delivery. However, interpretation can be difficult and X-ray may not prevent deep lung placement, suggesting a need for further investigation into guided or combined methods of confirming tube placement.
BRITISH JOURNAL OF RADIOLOGY
(2021)
Article
Nursing
Stephen J. Taylor, Kaylee Sayer, Ana Terlevich, David Campbell
Summary: This clinical study demonstrated the effectiveness of real-time guided tube placement in visualizing anatomy and preventing complications in critically ill patients, highlighting the need for further research to optimize the technique and address challenges encountered.
INTENSIVE AND CRITICAL CARE NURSING
(2021)
Article
Gastroenterology & Hepatology
Stephen Taylor, Kaylee Sayer, Danielle Milne, Jules Brown, Zeino Zeino
Summary: The use of IRIS tube can effectively prevent lung complications. A systematic guide was produced from records of tube placement and interpretation of anatomical images. Confirmation of tube position in certain situations can avoid potential trauma.
BMJ OPEN GASTROENTEROLOGY
(2021)
Review
Nutrition & Dietetics
Tim Torsy, Harm H. J. van Noort, Stephen Taylor, Mats Eriksson, Sofie Verhaeghe, Dimitri Beeckman
Summary: Accurate determination of the internal length of a nasogastric tube is crucial for correct placement, but current methods do not guarantee 100% accuracy. Results showed that the tip of the nose-earlobe-xiphoid distance + 10 cm and (nose-earlobe-xiphoid distance x 0.38696) + 30.37 + 6 cm could potentially result in accuracy as high as 97.4% and 99.0%, respectively.
AMERICAN JOURNAL OF CLINICAL NUTRITION
(2022)
Article
Critical Care Medicine
Stephen J. Taylor, Kaylee Sayer, Paul White
Summary: This study analyzes the techniques associated with successful nasointestinal (NI) tube placement for overcoming undernutrition caused by delayed gastric emptying. Significant associations with tube advancement were found at different anatomical points, such as head tilt, jaw thrust, laryngoscopy in the pharynx, air insufflation and different lengths of tube with or without reverse Seldinger maneuver in the upper stomach, air insufflation, possibly flexible tip and wire stiffener in the lower stomach, and combinations of flexible tip and micro-advance, slack removal, wire stiffener or prokinetic drugs in the first and beyond second parts of the duodenum.
JOURNAL OF THE INTENSIVE CARE SOCIETY
(2023)
Review
Critical Care Medicine
Norma A. Metheny, Stephen J. Taylor, Kathleen L. Meert
Summary: This study retrospectively reviewed cases of intrapulmonary feeding tube placements during the use of an electromagnetic placement device (EMPD) from 2019 to 2021. Out of 62 cases identified, 10 resulted in a fatal outcome. Pneumothorax occurred in 35 cases and 11 cases involved the delivery of feedings into the lung. User error was a significant factor and little information was provided about operator training. Follow-up radiographs were shown to be effective in identifying intrapulmonary tube placements.
AMERICAN JOURNAL OF CRITICAL CARE
(2023)
Article
Nutrition & Dietetics
Stephen J. Taylor, Danielle Milne, Zeino Zeino, Leonard Griffiths, Rowan Clemente, Frances Greer-Rogers, Jules Brown
Summary: By using direct vision-guided tube placement, operators were able to successfully match the observed anatomy with images and descriptions in the operator guide. This validation demonstrates that the operator guide accurately facilitates interpretation of tube position and helps avoid lung trauma and esophageal misplacement.
NUTRITION IN CLINICAL PRACTICE
(2023)
Review
Nursing
Stephen J. Taylor, Terpsi Karpasiti, Danielle Milne
Summary: ICU patients often need a feeding tube, but there is a high risk of misplacement due to artificial airways and unconsciousness. Guided tube placement can prevent problems, but undetected misplacements still occur. Different methods for confirming tube position have different levels of accuracy. Guided placement is associated with lower rates of pneumothorax, but expertise is required.
INTENSIVE AND CRITICAL CARE NURSING
(2023)
Letter
Nursing
Stephen J. Taylor, Terpsi Karpasiti, Danielle Milne
INTENSIVE AND CRITICAL CARE NURSING
(2023)
Article
Nutrition & Dietetics
Stephen J. Taylor, Kaylee Allan, Helen McWilliam, Alex Manara, Jules Brown, Rosemary Greenwood, Deirdre Toher
CLINICAL NUTRITION ESPEN
(2016)
Article
Nutrition & Dietetics
Stephen Taylor, Natalie Dumont, Rowan Clemente, Kaylee Allan, Claire Downer, Alex Mitchell
CLINICAL NUTRITION ESPEN
(2016)
