Words similar to post-pyloric
Example sentences for: post-pyloric
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In order to improve the success at post-pyloric placement, modifications have been made to the feeding tubes, including lengthening the tube, altering the configuration and profile of the tip, and adding various types of weights [ 34 37 38 ] . Innovative methods of placement have been described that include using industrial magnets, bedside sonography, fiberoptics through the tube, gastric insufflation, and electrocardiogram-guided placement [ 33 37 38 39 40 ] . Prokinetic agents have also been used to improve the likelihood of trans-pyloric passage of the feeding tube [ 35 39 40 41 42 ] . The number of variations and modifications of the blind bedside technique attest to the fact that none is ideal.
Despite poor gastric emptying, small bowel function usually remains relatively intact and placement of a post-pyloric small bowel feeding tube may allow for the administration of enteral nutrition in these patients.
A computerized literature search of the National Library of Medicine's Medline database from 1966 to July 2002 was conducted using the following search terms: enteral nutrition (explode) AND jejunal or post-pyloric or gastric AND randomized controlled trials (publication type) or controlled clinical trials or clinical trials, randomized.
Zaloga [ 29 ] described the 'corkscrew' method of achieving post-pyloric placement of feeding tubes, with a success rate of 92%.
Although the study by Heyland and colleagues [ 9 ] suggests that gastrically fed patients may have a higher incidence of aspiration than those receiving post-pyloric feeding, other investigators have not replicated these findings [ 10 ] . In addition, many critically ill, injured, and postoperative patients have gastroparesis, which may limit their ability to tolerate gastric feeding [ 11 12 ] . Indeed, Mentec and colleagues [ 13 ] demonstrated that 79% of gastrically fed patients in a mixed medical/surgical ICU exhibited some degree of upper digestive intolerance caused by impaired gastric emptying.
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