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Endoscopic- versus x-ray-guidance for placement of nasojejunal tubes in critically ill patients: a systematic review and meta-analysis of randomized controlled trials

Authors :
Guanzhen, Lu
Qin, Xiang
Sha, Wang
Mingyue, Pan
Xu, Xiang
Yanling, Yang
Xinyan, Shi
Source :
Am J Transl Res
Publication Year :
2022
Publisher :
e-Century Publishing Corporation, 2022.

Abstract

Nasojejunal tubes (NJTs) are increasingly used in critically ill patients. NJT insertion with endoscopic- or x-ray-guidance can be achieved with success rates above 90%. This systematic review and meta-analysis of randomized controlled trials (RCTs) compares the efficiency and safety of these two methods in critically ill patients. We searched Chinese and English databases for RCTs comparing endoscopy- and x-ray-guided NJT placement published up to July 5, 2021. Meta-analyses were performed using RevMan5 software to compute mean differences (MDs) and odds ratios (ORs). Eleven RCTs (n=676) were included. The endoscopic group had a higher procedure success rate (OR=2.14, 95% CI [1.19, 3.85], Z=2.52, P=0.01) and shorter insertion time (MD=-3.70 min, 95% CI [-6.90, -0.50], Z=2.27, P=0.02) than the x-ray group. NJT indwelling time and post-insertion complications were similar between groups. The x-ray group had fewer complications during placement (OR=8.08, 95% CI [3.58, 18.22], Z=5.03, P

Subjects

Subjects :
Review Article

Details

Language :
English
Database :
OpenAIRE
Journal :
Am J Transl Res
Accession number :
edsair.pmid.dedup....dadc446bda7e778a62b0fcf7f3845567