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

Bartos HB, Diez S, König A, Görlach J, Besendörfer M, Mahnken AH, Drommelschmidt K, Weiss C, Müller H (2024)

Publication Type: Journal article

Publication year: 2024

Journal

Journal of Pediatric Gastroenterology and Nutrition Lippincott, Williams & Wilkins

Book Volume: 78

Pages Range: 601-607

Journal Issue: 3

DOI: 10.1002/jpn3.12137

Abstract

Objectives: Perforation 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. Methods: A 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. Results: Insertion 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. Conclusions: The 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.

Authors with CRIS profile

Sonja Diez Department of Paediatric Surgery Manuel Besendörfer Department of Paediatric Surgery

Involved external institutions

Universitätsklinikum Gießen und Marburg (UKGM) DE Germany (DE) Universitätsklinikum Essen DE Germany (DE) Universitätsklinikum Mannheim DE Germany (DE)

How to cite

APA:

Bartos, H.B., Diez, S., König, A., Görlach, J., Besendörfer, M., Mahnken, A.H.,... Müller, H. (2024). Differences in neonatal gastric tubes during insertion into a 3D model in relation to risk of potential perforation. Journal of Pediatric Gastroenterology and Nutrition, 78(3), 601-607. https://doi.org/10.1002/jpn3.12137

MLA:

Bartos, Hilda Brigitta, et al. "Differences in neonatal gastric tubes during insertion into a 3D model in relation to risk of potential perforation." Journal of Pediatric Gastroenterology and Nutrition 78.3 (2024): 601-607.

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