Electromagnetic-guided placement of nasoduodenal feeding tubes versus endoscopic placement: a randomized, multicenter trial.

Background And Aims: Electromagnetic-guided placement (EMP) of a nasoduodenal feeding tube by trained nurses is an attractive alternative to EGD-guided placement (EGDP). We aimed to compare EMP and EGDP in outpatients, ward patients, and critically ill patients with normal upper GI anatomy.

Methods: In 3 centers with no prior experience in EMP, patients were randomized to placement of a single-lumen nasoduodenal feeding tube either with EGDP or EMP.

[Esophageal rupture with aortic-esophageal fistula due to ingestion of foil packaged drugs].

A 78-year-old man was admitted because of haematemesis. A week before, the patient was admitted for prostate resection. During that admission he ingested an analgesic tablet complete with foil packaging.

Small intestinal motor abnormalities in patients with functional dyspepsia demonstrated by ambulatory manometry.

Aims/methods: In 30 patients with functional dyspepsia and in 20 healthy volunteers, ambulatory duodenojejunal manometry was performed to examine the interdigestive and postprandial small intestinal motility patterns in relation to symptoms.

Results: In the fasting state, the number of migrating motor complex cycles mean (SEM) was significantly lower in patients, especially in patients with dysmotility-like dyspepsia, than in control subjects (3.8 (0.

Gastric myoelectrical activity and gastrointestinal motility in patients with functional dyspepsia.

The aim of our study was to examine the prevalence of gastric myoelectrical disturbances in relation to gastrointestinal motility abnormalities in patients with functional dyspepsia, using simultaneous electrogastrography and antroduodenojejunal manometry. We carried out electrogastrography in 20 patients with functional dyspepsia and in 20 healthy volunteers. In 10 of these patients and in 10 of the volunteers antroduodenojejunal manometry was performed simultaneously.

Role of electrogastrography and gastric impedance measurements in evaluation of gastric emptying and motility.

Electrogastrography records electrical potential variations brought about by myoelectrical activity of the stomach. Abnormal myoelectrical rhythms such as tachygastrias may also be detected. Electrogastrography provides little information on gastric motility and emptying.