Prevention of feeding tube dislodgement with the Wiesbaden rein: a case series

We describe initial experience with the use of a new fixation method (Wiesbaden rein), which has been developed to prevent dislodgement of feeding tubes in the gastrointestinal tract. The Wiesbaden rein has been used in three patients without complication. In none of the patients was dislodgement or malfunction of the feeding tube observed. Therefore, the use of the Wiesbaden rein might prevent dislodgement of feeding tubes. Clinical trials are required before this new method can be recommended for general use.

References

• 1 Mathus-Vliegen E M, Tytgat G N, Merkus M P. Feeding tubes in endoscopic and clinical practice: the longer the better?.  Gastrointest Endosc. 1993;  39 537-542
• 2 Elke G, Schädler D, Engel C. et al . Current practice in nutritional support and its association with mortality in septic patients – results from a national, prospective, multicenter study.  Crit Care Med. 2008;  36 1762-1767
• 3 Lucha jr. P A, Butler R, Plichta J, Francis M. The economic impact of early enteral feeding in gastrointestinal surgery: a prospective survey of 51 consecutive patients.  Am Surg. 2005;  71 187-190
• 4 Liao G S, Hsieh H F, Wu M H. et al . Knot formation in the feeding jejunostomy tube: a case report and review of the literature.  World J Gastroenterol. 2007;  13 973-974
• 5 Bhat V R, Venkateshwaran G. A secure method of nasotracheal tube fixation using an infant feeding tube.  Anesth Analg. 2004;  99 1352-1354