BACKGROUND AND OBJECTIVES There is no standardized method of reconstruction in laparoscopic proximal gastrectomy (LPG). We present a novel technique of reconstruction with a long, narrow gastric tube in LPG for early gastric cancer (EGC). METHODS During the laparoscopic procedure, the upper part of the stomach is fully mobilized with perigastric and suprapancreatic lymphadenectomy, and then t...

Hypertrophic pyloric stenosis (HPS) is a well-known cause of gastric outlet obstruction in infants. However, its etiology is still controversial. Our experience has let us to consider that transpyloric (TP) tube feeding may be a potential cause of HPS. We report 3 cases of HPS in the context of TP tube feedings. All 3 patients had severe fundamental surgical disease and required enteral nutriti...

The benefits of enteral feeding in critically ill animals have been clearly established and include preservation of the mucosal integrity of the gut, reduction in rates of sepsis and augmentation of the host immune defense mechanisms. A multitude of tube types and techniques for tube insertion have been reported but fundamentally speaking, the decision for the type of enteral feeding required c...

An 18-year-old man presented with altered mental status. He was found to have diabetic ketoacidosis. Chest X-ray showed pneumomediastinum. After intubation for air-way protection, an oral-gastric tube was placed. A chest computed tomography scan showed the tip of the oral-gastric tube to be in the right hemithorax. The patient underwent a thoracotomy and was managed in the intensive care unit. ...

A benign fistula between the gastric tube and the airway resulting from esophagectomy is a rare complication, but it is a potentially life-threatening status. We present a 59-year-old man with thoracic empyema and lung abscess resulting from a benign gastric tube-to-pulmonary fistula caused by a penetration of the peptic ulcer in the gastric tube four years after an esophagectomy for esophageal...

The most dreaded complication of tube feedings is tracheobronchial aspiration of gastric contents. Strong evidence indicates that most critically ill tube-fed patients receiving mechanical ventilation aspirate gastric contents at least once during their early days of tube feeding. Those who aspirate frequently are about 4 times more likely to have pneumonia develop than are those who aspirate i...

This article provides a summary of current information on rational postoperative use of the nasogastric tube, based on a review of literature related to postoperative gastrointestinal discomfort and management with the nasogastric tube. Routine gastric decompression after major surgery neither hastens the return of bowel function nor diminishes the incidence of postoperative nausea and vomiting...

BACKGROUND The placement of nasal or oral gastric tubes is one of the most frequently performed procedures in critically ill children; tube malposition, particularly in the trachea, is an important complication. Neurally adjusted ventilatory assist (NAVA) ventilation (available only on the Servo-i ventilator, Maquet Critical Care, Solna, Sweden) requires a proprietary-design catheter (Maquet Cr...

J Cardiovasc Thorac Res / 17 Original Article Split Endotracheal Tube as a Guide Tube for Gastric Tube Insertion in Anesthetized Patients: A Randomized Clinical Trial Solmaz Fakhari MD, Eisa Bilehjani MD,Sohrab Negargar MD, Moussa Mirinazhad MD Rasoul Azarfarin MD Cardiovascular Research Center, Tabriz University of Medical Sciences Background: Occasionally inserting a gastric tube in anestheti...

Background: Insertion of a nasogastric tube in an anesthetized intubated patient may be difficult. A is prone to coil and kink during insertion. The authors hypothesized that gastric biopsy forceps could used as flexible stylet-assisted It can improve the first-attempt success rate over conventional blind technique insertion patient. Materials Methods: Eighty adult patients who required intraop...