Direct, real-time visualization-assisted nasoenteral tube placement in critically ill patients: a multicenter experience - Report - MDSpire
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Real-Time Visualization Techniques for Nasoenteral Tube Insertion in Critically Ill Patients: Insights from a Multicenter Study

  • By

  • Guoli Yang

  • Jinhan Huang

  • Huaqin Wang

  • Shaozhen Chen

  • Hui Yi

  • Yuequn Chen

  • Weijie Qiu

  • Fang Peng

  • Xiangrong Nie

  • Yihao Liu

  • Qian Zhou

  • Dingfeng Lai

  • Jinxia Li

  • Mingzhu Jiang

  • Cuiling Li

  • Wendan Li

  • Cheng Liu

  • Liqin Zhang

  • Bo Yu

  • Juan Zheng

  • Hui Yang

  • Xiaozhu Li

  • Kar Keung Cheng

  • Jun Jin

  • Xin Tian

  • Yifeng Luo

  • October 6, 2026

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Clinical Report: Real-Time Visualization Techniques for Nasoenteral Tube Insertion

Overview

This multicenter study evaluates the feasibility and learning characteristics of real-time visualization-assisted tube placement (VATP) for postpyloric feeding in critically ill patients.

Background

Postpyloric feeding is recommended for ICU patients with gastric feeding intolerance or high aspiration risk. Timely and accurate tube insertion is critical for effective enteral nutrition. Traditional methods may be hindered by the need for specialized equipment and expertise.

Data Highlights

MetricValue
Total Procedures316
Successful EDS Procedures294
Radiographic Confirmation292 (94.8%)
Median Procedure Duration25 min (IQR, 15–37.5)
Success Rate (Operators)82.4% to 100%
Distal Placement (D4 or beyond)199 cases (64.6%)

Key Findings

  • VATP achieved a high overall success rate of 94.8% for postpyloric tube placement.
  • Median procedure duration decreased from 27 min in the early phase to 20 min in the late phase.
  • Operator-specific success rates varied, with 8 of 10 operators achieving rates above 90%.
  • Distal placement at or beyond D4 increased from 60.5% to 72.2% as operator experience improved.
  • Minor adverse events were reported, but no severe complications occurred.

Clinical Implications

The findings indicate that VATP can be integrated into ICU practice for postpyloric tube placement.

Conclusion

VATP represents a method for postpyloric tube placement in critically ill patients, with outcomes related to procedural success and efficiency as operator experience increases.

Related Resources & Content

  1. Frontiers in Medicine, 2026 -- Blind nasoenteric tube insertion using a pharmaco-mechanical synergy protocol in frail older adults with chronic wounds: a retrospective study
  2. Assessment of Gastric Tube Blood Flow Post-Esophagectomy Utilizing Indocyanine Green Fluorescence Imaging, 2022
  3. ASCO Publications -- Improved Transnasal Ileus Tube Technique for Intractable Adhesive Small Bowel Obstruction
  4. JAMA Network Open -- Exploring the Impact of Video Laryngoscopes in Intubation Procedures: A New Clinical Trial
  5. Clinical Nutrition 42 (2023) 1671e1689 -- ESPEN practical ICU guideline
  6. Nasogastric tube versus postpyloric tube feeding for critical illness: A systematic review and meta-analysis - PMC
  7. Real-time imaging-guided visualization facilitates post-pyloric feeding tube placement in critically ill patients: a prospective randomized controlled study - PubMed
  8. Clinical Nutrition 42 (2023) 1671e1689
  9. Nasogastric tube versus postpyloric tube feeding for critical illness: A systematic review and meta-analysis - PMC
  10. Real-time imaging-guided visualization facilitates post-pyloric feeding tube placement in critically ill patients: a prospective randomized controlled study - PubMed

Original Source(s)

Direct, real-time visualization-assisted nasoenteral tube placement in critically ill patients: a multicenter experience

  • by Guoli Yang, Jinhan Huang, Huaqin Wang, Shaozhen Chen, Hui Yi, Yuequn Chen, Weijie Qiu, Fang Peng, Xiangrong Nie, Yihao Liu, Qian Zhou, Dingfeng Lai, Jinxia Li, Mingzhu Jiang, Cuiling Li, Wendan Li, Cheng Liu, Liqin Zhang, Bo Yu, Juan Zheng, Hui Yang, Xiaozhu Li, Kar Keung Cheng, Jun Jin, Xin Tian, Yifeng Luo

  • October 6, 2026

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