Purpose: The purpose of this study was to compare the efficacy and safety of a conventional tube with a new designed coil tube for nasoenteral feeding of patients with severe acute pancreatitis.
Materials and Methods: Between October 2003 and December 2008, fluoroscopically-guided nasoenteral feeding tube placement was attempted in 21 patients (age range, 1-74 years；mean, 44 years) with severe acute pancreatitis. The patients were divided into the two groups, according to types of feeding tubes：In group A, conventional tubes were placed in 16 patients. In group B, coil tubes were placed in 5 patients. Technical success was defined as successful insertion of the feeding tube beyond the Treitz"s ligament. The technical success rate, complications and feeding duration were compared between the two groups.
Results: Technical success was achieved in seven of 16 patients (43.8%) in group A. In nine patients with technical failure, conventional tubes could not be placed beyond the Treitz"s ligament. In one of nine patients with technical failure, the conventional tube was replaced with a new designed coil tube. In group B, insertion of new designed coil tube was successfully placed beyond the Treitz"s ligament with no procedural complication in all patients (100%). Occlusion of the feeding tube occurred in 1 of the 16 conventional tubes. The feeding duration was not significantly different between the two groups.
Conclusion: Nasoenteral feeding with a new designed coil tube seems to be more safe and technically successful than nasoenteral feeding with a conventional tube.
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