Efficacy and accuracy of the transillumination-guided gastric tube placement in neonates

Read the full article

Discuss this preprint

Start a discussion What are Sciety discussions?

Listed in

This article is not in any list yet, why not save it to one of your lists.
Log in to save this article

Abstract

Objective To evaluate the efficacy and safety of Tumguide®, a radiation-free, transillumination-guided system for gastric tube (GT) placement in neonates. Study design This single-center prospective observational study enrolled neonates requiring GT placement. Tumguide® was used to guide placement. Primary outcomes were intragastric placement success rate and accuracy, defined as radiographically confirmed positioning not requiring adjustment. Results A total of 53 procedures were performed in 44 neonates. Median gestational age was 37.4 weeks, and median birth weight was 2 577 g. The overall intragastric placement success rate was 98%, with 68% accuracy. No adverse events were reported. Protocol modifications significantly improved accuracy from 17% to 84% (p < 0.001). Tumguide® maintained high accuracy across varying body weights. Conclusions Tumguide® enables accurate and successful GT placement in neonates. Its real-time visualization and compatibility with small-caliber tubes support its utility as a practical alternative to traditional methods.

Article activity feed