Nasojejunal tube in upper gastrointestinal conditions
Maharita AR, Izzuna MMG
Record ID 32018005409
English
Authors' objectives:
To assess the efficacy/effectiveness, safety and cost-effectiveness of nasojejunal tubes in general in upper gastrointestinal conditions.
Authors' results and conclusions:
Nasojejunal tube in general can be used for enteral feeding in various upper gastrointestinal conditions. The nasojejunal tube in general showed no difference in catheter efficacy, total duration of nutritional support, complications associated with the procedure, need for surgical intervention and exacerbation of pain compared to jejunostomy and nasogastric tube. However, it may improve rate of grade I and grade II complications, time of tube removal and postoperative hospital stay, rate of intestinal obstruction and delayed gastric emptying. As for safety, the complications reported on the use of nasojejunal tube were of sore throat, speech disorder, headache, cough and drying of the mucosa, anastomotic leakage, pneumonia, abdominal pain, vomiting and diarrhoea. No retrievable evidence on economic evaluation of nasojejunal feeding.
Authors' recommendations:
Nasojejunal tube may be used as one of the option to manage feeding in upper gastrointestinal conditions.
Authors' methods:
Literature search was conducted by an Information Specialist who searched for published articles on nasojejunal feeding tube. The following electronic databases were searched through the Ovid interface: Ovid MEDLINE® In-Process & Other Non-Indexed Citations and Ovid MEDLINE® 1946 to July 2023. Parallel searches were run in PubMed, US FDA and INAHTA database as well as CADTH. Some limitations applied during search (animal study). Additional articles were identified from reviewing the references of retrieved articles. The last search was performed on 12 July 2023.
Authors' identified further research:
The selection of the studies and appraisal was done by one reviewer. Besides, only English full text articles were included.
Details
Project Status:
Completed
Year Published:
2023
URL for published report:
https://www.moh.gov.my/index.php/database_stores/store_view_page/30/402
Requestor:
Ministry of Health, decision-making committee
English language abstract:
An English language summary is available
Publication Type:
Mini HTA
Country:
Malaysia
MeSH Terms
- Intubation, Gastrointestinal
- Gastrointestinal Diseases
- Enteral Nutrition
Keywords
- Nasojejunal
- Nasagastrojejunal
- Upper gastrointestinal obstruction
Contact
Organisation Name:
Malaysian Health Technology Assessment
Contact Address:
Malaysian Health Technology Assessment Section, Ministry of Health Malaysia, Federal Government Administrative Centre, Level 4, Block E1, Parcel E, 62590 Putrajaya Malaysia Tel: +603 8883 1229
Contact Name:
htamalaysia@moh.gov.my
Contact Email:
htamalaysia@moh.gov.my
Copyright:
Malaysian Health Technology Assessment Section (MaHTAS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.