A safe and simple technique for nasogastric tube insertion in patients with thoracic esophageal cancer surgery

Abstract Background Risk factors for anastomotic leakage include local factors such as excessive tension across anastomosis and increased intraluminal pressure on the gastric conduit; therefore, we consider the placement of a nasogastric tube to be essential in reducing anastomotic leakage. In this...

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Autores principales:	Noriyuki Hirahara, Takeshi Matsubara, Shunsuke Kaji, Yuki Uchida, Tetsu Yamamoto, Ryoji Hyakudomi, Kiyoe Takai, Kazunari Ishitobi, Yoshitsugu Tajima
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Nasogastric tube Esophageal cancer Esophagectomy Surgery RD1-811 Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/48a6f429232749dab10d69a0955d9529
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spelling	oai:doaj.org-article:48a6f429232749dab10d69a0955d95292021-11-08T11:05:15ZA safe and simple technique for nasogastric tube insertion in patients with thoracic esophageal cancer surgery10.1186/s12957-021-02428-71477-7819https://doaj.org/article/48a6f429232749dab10d69a0955d95292021-11-01T00:00:00Zhttps://doi.org/10.1186/s12957-021-02428-7https://doaj.org/toc/1477-7819Abstract Background Risk factors for anastomotic leakage include local factors such as excessive tension across anastomosis and increased intraluminal pressure on the gastric conduit; therefore, we consider the placement of a nasogastric tube to be essential in reducing anastomotic leakage. In this study, we devised a safe and simple technique to place an NGT during an end-to-side, automatic circular-stapled esophagogastrostomy. Methods First, a 4-0 nylon thread is fixed in the narrow groove between the plastic and metal parts of the tip of the anvil head. After dissecting the esophagus, the tip of the NGT is guided out of the lumen of the cervical esophageal stump. The connecting nylon thread is applied to the anvil head with the tip of the NGT. The anvil head is inserted into the cervical esophageal stump, and a purse-string suture is performed on the esophageal stump to complete the anvil head placement. The main unit of the automated stapler is inserted through the tip of a reconstructed gastric conduit, and the stapler is subsequently fired and an end-to-side esophagogastrostomy is achieved. The main unit of the automated stapler is then pulled out from the gastric conduit, and the NGT comes out with the anvil head from the tip of the reconstructed gastric conduit. Subsequently, the nylon thread is cut. After creating an α-loop with the NGT outside of the lumen, the tip of the NGT is inserted into the gastric conduit along the lesser curvature toward the caudal side. Finally, the inlet of the automated stapler on the tip of the gastric conduit is closed with an automated linear stapler, and the esophagogastrostomy is completed. Results We utilized this technique in seven patients who underwent esophagectomy for esophageal cancer; smooth and safe placement of the NGT was accomplished in all cases. Conclusion Our technique of NGT placement is simple, safe, and feasible.Noriyuki HiraharaTakeshi MatsubaraShunsuke KajiYuki UchidaTetsu YamamotoRyoji HyakudomiKiyoe TakaiKazunari IshitobiYoshitsugu TajimaBMCarticleNasogastric tubeEsophageal cancerEsophagectomySurgeryRD1-811Neoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENWorld Journal of Surgical Oncology, Vol 19, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Nasogastric tube Esophageal cancer Esophagectomy Surgery RD1-811 Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	Nasogastric tube Esophageal cancer Esophagectomy Surgery RD1-811 Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Noriyuki Hirahara Takeshi Matsubara Shunsuke Kaji Yuki Uchida Tetsu Yamamoto Ryoji Hyakudomi Kiyoe Takai Kazunari Ishitobi Yoshitsugu Tajima A safe and simple technique for nasogastric tube insertion in patients with thoracic esophageal cancer surgery
description	Abstract Background Risk factors for anastomotic leakage include local factors such as excessive tension across anastomosis and increased intraluminal pressure on the gastric conduit; therefore, we consider the placement of a nasogastric tube to be essential in reducing anastomotic leakage. In this study, we devised a safe and simple technique to place an NGT during an end-to-side, automatic circular-stapled esophagogastrostomy. Methods First, a 4-0 nylon thread is fixed in the narrow groove between the plastic and metal parts of the tip of the anvil head. After dissecting the esophagus, the tip of the NGT is guided out of the lumen of the cervical esophageal stump. The connecting nylon thread is applied to the anvil head with the tip of the NGT. The anvil head is inserted into the cervical esophageal stump, and a purse-string suture is performed on the esophageal stump to complete the anvil head placement. The main unit of the automated stapler is inserted through the tip of a reconstructed gastric conduit, and the stapler is subsequently fired and an end-to-side esophagogastrostomy is achieved. The main unit of the automated stapler is then pulled out from the gastric conduit, and the NGT comes out with the anvil head from the tip of the reconstructed gastric conduit. Subsequently, the nylon thread is cut. After creating an α-loop with the NGT outside of the lumen, the tip of the NGT is inserted into the gastric conduit along the lesser curvature toward the caudal side. Finally, the inlet of the automated stapler on the tip of the gastric conduit is closed with an automated linear stapler, and the esophagogastrostomy is completed. Results We utilized this technique in seven patients who underwent esophagectomy for esophageal cancer; smooth and safe placement of the NGT was accomplished in all cases. Conclusion Our technique of NGT placement is simple, safe, and feasible.
format	article
author	Noriyuki Hirahara Takeshi Matsubara Shunsuke Kaji Yuki Uchida Tetsu Yamamoto Ryoji Hyakudomi Kiyoe Takai Kazunari Ishitobi Yoshitsugu Tajima
author_facet	Noriyuki Hirahara Takeshi Matsubara Shunsuke Kaji Yuki Uchida Tetsu Yamamoto Ryoji Hyakudomi Kiyoe Takai Kazunari Ishitobi Yoshitsugu Tajima
author_sort	Noriyuki Hirahara
title	A safe and simple technique for nasogastric tube insertion in patients with thoracic esophageal cancer surgery
title_short	A safe and simple technique for nasogastric tube insertion in patients with thoracic esophageal cancer surgery
title_full	A safe and simple technique for nasogastric tube insertion in patients with thoracic esophageal cancer surgery
title_fullStr	A safe and simple technique for nasogastric tube insertion in patients with thoracic esophageal cancer surgery
title_full_unstemmed	A safe and simple technique for nasogastric tube insertion in patients with thoracic esophageal cancer surgery
title_sort	safe and simple technique for nasogastric tube insertion in patients with thoracic esophageal cancer surgery
publisher	BMC
publishDate	2021
url	https://doaj.org/article/48a6f429232749dab10d69a0955d9529
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A safe and simple technique for nasogastric tube insertion in patients with thoracic esophageal cancer surgery

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