Vaker elektromagnetisch geleide plaatsing van naso-enterale voedingssondes

Electromagnetic-guided placement of nasoenteral feeding tubes by trained nurses is an alternative to endoscopic placement by gastroenterologists. This technique uses an electromagnetic signal in the tip of the guide wire, which enables visualisation of the position of the tube on a portable monitor at the bedside of the patient. Success rates and complications are similar to endoscopic placement, but the technique is more cost-effective due to a reduction in personnel, x-rays, and replacements. It also reduces the time to tube placement, which allows for an earlier start of feeding. In the past five years the application of this technique has increased in the Netherlands and worldwide, but there still is a lot to gain in the future, also in the application in patients with an altered gastrointestinal anatomy after surgery, such as pancreatoduodenectomy.

Conflict of interest and financial support: The CORE-trial was financially supported by Agis Zorginnovatie Fonds (subsidienummer 20131223; Amersfoort), Innovatiefonds Zorgverzekeraars (RVVZ) (subsidienummer Z568; Leiden), and CORPAK MedSystems UK (Gatwick, UK). ICMJE forms provided by the authors are available online along with the full text of this article.