STUDY OBJECTIVES To determine the effect of feeding tube position (gastric vs small bowel) on adequacy of nutrient delivery and feeding complications, including microaspiration, in critically ill children. DESIGN Randomized controlled trial. SETTING Pediatric ICU in a university teaching hospital. PATIENTS Seventy-four critically ill patients < 18 years of age receiving mechanical ventila...

AIM The aim of this study was estimation of clinical value of gastric tube esophagoplasty in children based on one single center experience. METHODS Forty-nine patients with diagnosis of EA (n=22) and caustic esophageal injury (n=27) had undergone reverse gastric tube esophagoplasty during 25 years at our institution. Almost all EA patients received initially gastrostomy and cervical esophago...

Background: Reflux oesophagitis is an esophageal mucosal injury that occurs secondary to retrograde flux of gastric contents into the esophagus. Here, we reported a case of re-insertion of gastric feeding tube (RIGFT) to an old man who underwent gastrostomy due to progressive Dysphagia secondary to reflux oesophagitis. Methods: We report the case of re-insertion of gastric feeding tube in an el...

For nutritional support of critically ill patients, the enteral route is preferred over the parenteral route. Although nasojejunal feeding can be superior to gastric feeding when gastrointestinal symptoms occur, it does not necessarily solve the problem of large gastric residual volumes. We report the successful use of a newly developed nasojejunal feeding tube with gastric decompression functi...

AIM Laparoscopic adjustable gastric banding (LAGB) is a widely performed surgical procedure for the treatment of morbid obesity. Late complications mainly originate from either the injection port or the gastric band. Complications from the tube and band together are also described. CASE REPORT We here report a case of adjustable gastric band migrated subserosally into the stomach with its who...

BACKGROUND The reported incidence of ulcer formation in the gastric tube in esophageal replacement is rare. CASE PRESENTATION This is the first report of a case of cerebral air embolism as a result of spontaneous perforation of an ulcer in the constructed gastric tube into the pulmonary vein during post-operative follow-up in a patient with esophageal cancer. CONCLUSIONS Cerebral air emboli...

A 66-year-old man with pancreatic cancer developed an anastomotic leakage of the pancreaticogastrostomy 15 days after pylorus-preserving pancreaticoduodenectomy. An easy-flow drain was identified endoscopically in the extraluminal cavity. Two-sided sponge (TSS) treatment was initiated [1]. A gastric tube was attached to the outer end of the drain with adhesive tape (Opsite Flexfix; Smith & Neph...

OBJECTIVES To conduct a systematic review and meta-analysis of studies comparing the gastric-tube vs. whole-stomach for esophageal cancer in order to determine the optimal surgical technique of esophagectomy. METHODS A comprehensive literature search was performed using PubMed, EMBASE, ScienceDirect, Ovid MEDLINE, Cochrane Library, Web of Science, Google Scholar, and Scopus. Clinical trials t...

This study was undertaken to determine the effect of interposed abdominal compressions (IAC) during cardiopulmonary resuscitation (CPR) on gastric insufflation when the airway is not secured with an endotracheal tube. A canine model was used in which a common ventilation pressure was applied to separate cuffed esophageal and tracheal tubes. Gas entering the stomach was collected by a pre-placed...