Post-Pyloric Enteral Feeding Tube Placement: Eletromagnetic Or Endoscopic Guided? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

F Catache Mancini; M Pereira Funari; DTH de Moura; W Marques Bernardo; V Massaro Takamatsu Sagae; E Ide; C Makoto Sakai; F Lopes Ponte Neto; P Joaquin Ortiz Mendieta; E Guimarães Hourneaux de Moura

doi:10.1055/s-0041-1724663

Endoscopy, Inhaltsverzeichnis

Endoscopy 2021; 53(S 01): S151
DOI: 10.1055/s-0041-1724663

Abstracts | ESGE Days

ESGE Days 2021 Digital poster exhibition

Post-Pyloric Enteral Feeding Tube Placement: Eletromagnetic Or Endoscopic Guided? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Autor*innen

F Catache Mancini

¹Hospital das Clínicas da Faculdade de Medicina da USP, Gastrointestinal Endoscopy Unit, São Paulo, Brazil
M Pereira Funari

¹Hospital das Clínicas da Faculdade de Medicina da USP, Gastrointestinal Endoscopy Unit, São Paulo, Brazil
DTH de Moura

¹Hospital das Clínicas da Faculdade de Medicina da USP, Gastrointestinal Endoscopy Unit, São Paulo, Brazil
W Marques Bernardo

¹Hospital das Clínicas da Faculdade de Medicina da USP, Gastrointestinal Endoscopy Unit, São Paulo, Brazil
V Massaro Takamatsu Sagae

¹Hospital das Clínicas da Faculdade de Medicina da USP, Gastrointestinal Endoscopy Unit, São Paulo, Brazil
E Ide

¹Hospital das Clínicas da Faculdade de Medicina da USP, Gastrointestinal Endoscopy Unit, São Paulo, Brazil
C Makoto Sakai

¹Hospital das Clínicas da Faculdade de Medicina da USP, Gastrointestinal Endoscopy Unit, São Paulo, Brazil
F Lopes Ponte Neto

¹Hospital das Clínicas da Faculdade de Medicina da USP, Gastrointestinal Endoscopy Unit, São Paulo, Brazil
P Joaquin Ortiz Mendieta

¹Hospital das Clínicas da Faculdade de Medicina da USP, Gastrointestinal Endoscopy Unit, São Paulo, Brazil
E Guimarães Hourneaux de Moura

¹Hospital das Clínicas da Faculdade de Medicina da USP, Gastrointestinal Endoscopy Unit, São Paulo, Brazil

Abstract

Volltext

Aims To compare endoscopic-guided placement and eletromagnetic-guided placement of enteral feeding tubes in post-pyloric position based on randomized controlled trials (RCTs).

Methods The study was conducted in accordance with the PRISMA guidelines. Electronic searches were performed using MEDLINE, EMBASE, Cochrane CENTRAL, and Lilacs/Bireme databases from their dates of inception to October 2020.

Results A total of 536 patients from 4 RCTs were analyzed. There was statistical difference regarding time between physician’s order and initiation of tube feeding favoring EMGP (MD: -134.37 [-162.13, -106.61], p < 0.00001, I2= 35 %); and cost (MD: -126.63 [-134.05, -119.20], p < 0.00001, I2= 0 %); and no statistical difference regarding post-pyloric position (87 % vs 88 %; RD: -0.01 [-0.07, 0.05], p = 0.68, I2= 0 %), tube-related complications (33 % vs 25 %; RD: 0.07 [-0.01, 0.15], p = 0.07, I2= 0 %), patient-related complications (5 % vs 6 %; RD: -0.01 [-0.05, 0.02], p = 0.47, I2= 0 %), procedure time (MD: 0.81 [-7.2, 8.82], p = 0.84, I2= 99 %), time in the right position (MD: -0.89 [-3.37, 1.58], p = 0.48, I2= 93 %).

Conclusions EMGP and EGP presented lower cost and reduced time for accessing nutritional intake after treatment definition, and same rate of success, procedure time, complication rates, and time in the right position. EMGP may be recommended as an option for the placement of post-pyloric enteral feeding tubes.

Citation: Catache Mancini F, Pereira Funari M, de Moura DTH et al. eP167 POST-PYLORIC ENTERAL FEEDING TUBE PLACEMENT: ELETROMAGNETIC OR ENDOSCOPIC GUIDED? A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. Endoscopy 2021; 53: S151.