| Unique ID issued by UMIN | UMIN000054745 |
|---|---|
| Receipt number | R000062560 |
| Scientific Title | In post-pyloric placement of feeding tube,Enteral Access System (EAS) guided placement versus fluoroscopic placement:a randomized single center trial |
| Date of disclosure of the study information | 2024/08/01 |
| Last modified on | 2024/12/24 11:00:06 |
Evaluation of the usefulness of Enteral Access System (EAS) for post-pyloric feeding tube placement
Evaluation of the usefulness of Enteral Access System (EAS) for post-pyloric feeding tube placement
In post-pyloric placement of feeding tube,Enteral Access System (EAS) guided placement versus fluoroscopic placement:a randomized single center trial
In post-pyloric placement of feeding tube,Enteral Access System (EAS) guided placement versus fluoroscopic placement:a randomized single center trial
| Japan |
A hospitalized patient with intestinal intolerance in our ICU
Age at registration is 16 years or older
Written consent for participation in the study has been obtained from the research subjects
| Emergency medicine | Intensive care medicine |
Others
NO
The Enteric Access System (EAS) allows real-time confirmation of the position of the distal end of a gastric tube, making it potentially useful for successful post-pyloric placement. Reports on the effectiveness of EAS-guided post-pyloric tube placement are sporadic. Compared to methods using endoscopy or fluoroscopy, the EAS method is believed to be advantageous as it can be performed at the bedside without the need for patient transport, and is considered less invasive. This study aims to compare the success rates and time to successful placement between the EAS method and the conventional fluoroscopy-guided insertion method, evaluating the usefulness of the EAS method.
Efficacy
Confirmatory
The success rate of post-pyloric placement within 20 minutes
Time to successful post-pyloric placement
Rate of complications
Radiation exposure time
Healthcare economic considerations
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
2
Treatment
| Device,equipment | Maneuver |
Fluoroscopy-guided group:
Patients are transferred from the ICU to the operating room for the procedure.
Time elapsed from insertion of the enteral feeding tube until confirmation of correct tube placement is measured.
Time taken for patient transfer between the ICU and the operating room is also measured.
Fluoroscopy exposure time (X-ray) is measured.
EAS group:
Conducted at the ICU bedside.
Uses CORTRAK2, marketed by Terumo Corporation.
Measures the time from insertion of the enteral feeding tube until confirmation of correct tube position on the monitor.
Success is confirmed if post-pyloric placement is verified by X-ray after insertion.
| 16 | years-old | <= |
| Not applicable |
Male and Female
A hospitalized patient with intestinal intolerance in our ICU
Age at registration is 16 years or older
Written consent for participation in the study has been obtained from the research subjects
Patients under 16 years of age.
Patients for whom warnings, contraindications, and prohibitions regarding the medical device (CORTRAK2) used in the EAS method apply.
Patients with a history of head and neck or upper gastrointestinal surgery.
Patients suspected of having esophageal hiatus hernia based on prior imaging studies, making gastric tube insertion difficult.
*Other patients deemed unsuitable for safe implementation of this study by the principal investigator or attending physician.
100
| 1st name | osamu |
| Middle name | |
| Last name | umegaki |
Osaka Medical and Pharmaceutical University
Intensive Care Unit (ICU)
569-8686
2-7 daigaku,takatuki,osaka,japan
072-683-1221
osamu.umegaki@ompu.ac.jp
| 1st name | sho |
| Middle name | |
| Last name | tomihata |
Osaka Medical and Pharmaceutical University
Intensive Care Unit (ICU)
569-8686
2-7 daigaku,takatuki,osaka,japan
072-683-1221
sho.tomihata@ompu.ac.jp
Osaka Medical and Pharmaceutical University
Osaka Medical and Pharmaceutical University
Self funding
Osaka Medical and Pharmaceutical University
2-7 daigaku,takatuki,osaka,japan
072-683-1221
rco000@ompu.ac.jp
NO
| 2024 | Year | 08 | Month | 01 | Day |
Unpublished
Enrolling by invitation
| 2024 | Year | 05 | Month | 12 | Day |
| 2024 | Year | 10 | Month | 01 | Day |
| 2024 | Year | 10 | Month | 01 | Day |
| 2029 | Year | 03 | Month | 31 | Day |
| 2029 | Year | 03 | Month | 31 | Day |
| 2027 | Year | 03 | Month | 31 | Day |
| 2024 | Year | 06 | Month | 24 | Day |
| 2024 | Year | 12 | Month | 24 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062560