Differences in neonatal gastric tubes during insertion into a 3D model in relation to risk of potential perforation-Reference-Cited by-同舟云学术

Differences in neonatal gastric tubes during insertion into a 3D model in relation to risk of potential perforation

Published:2024-02-02 Issue:3 Volume:78 Page:601-607
ISSN:0277-2116
Container-title:Journal of Pediatric Gastroenterology and Nutrition
language:en
Short-container-title:J. pediatr. gastroenterol. nutr.

Author:

Bartos Hilda‐Brigitta¹,Diez Sonja²^ORCID,König Alexander¹,Görlach Jannis¹,Besendörfer Manuel²,Mahnken Andreas H.¹,Drommelschmidt Karla³,Weiss Christel⁴,Müller Hanna⁵

Affiliation:

1. Department of Diagnostic & Interventional Radiology University Hospital Marburg, University of Marburg Marburg Germany

2. Department of Pediatric Surgery University Hospital Erlangen, University of Erlangen‐Nürnberg Erlangen Germany

3. Department of Pediatrics I, Neonatology University Hospital Essen, University Duisburg‐Essen Essen Germany

4. Department of Medical Statistics, Biomathematics, and Information Processing Medical Faculty Mannheim of Heidelberg University Mannheim Germany

5. Division of Neonatology and Pediatric Intensive Care, Department of Pediatrics University Hospital Marburg, University of Marburg Marburg Germany

Abstract

AbstractObjectivesPerforation of esophagus or stomach is a potential complication during and after insertion of a gastric tube in neonates. The aim of this study was to analyze different types of gastric tubes in a three‐dimensional (3D) model of neonatal esophagus and stomach regarding potential perforations.MethodsA 3D model of esophagus and stomach was created based on computed tomography data of a term neonate. Three types of gastric tubes were inserted into the 3D model, the localization was examined by radioscopy and the behavior, stiffness and manageability of each gastric tube was evaluated.ResultsInsertion of gastric tubes with higher stiffness was easier. The rates of correct localization differed significantly between the gastric tubes with the highest rate of correct localization in the softest tube (48.5%) and the lowest rate in the tube with the highest stiffness (21.2%). Additionally, the softest tube showed the lowest rate of localization of its tip at the stomach wall.ConclusionsThe study illustrates differences between various types of gastric tubes regarding stiffness, behavior and resiliency. Softer gastric tubes may be beneficial. These differences may be relevant in neonatal care of very immature and very sick infants.

Publisher

Wiley

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1002/jpn3.12137

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