The choice of a postpyloric tube and the patient’s position in our procedure: A response
© The Author(s). 2018
Received: 25 March 2018
Accepted: 12 April 2018
Published: 10 May 2018
The original article was published in Critical Care 2018 22:62
In a recent letter published in Critical Care , Sun and colleagues argued that the choice of a postpyloric tube and the patient’s position with regard to spiral nasojejunal feeding tube insertion in a previously published study  required further improvement.
When it comes to the patient’s position during the postpyloric placement of the nasojejunal tube, we consider the author’s procedure is quite creative. We are willing to make a comparison between the two positions in future work and optimize the method of remedial spiral feeding tube insertion. One position is described in the authors’ work , another position is described in our previous published work .
Our procedure of using the spiral nasojejunal tube as a preferred enternal nutrition method in critically ill patients is as follows: radioscopy confirmation is taken 24 h after successful gastric placement with or without use of prokinetic agents . Blind bedside postpyloric placement of the spiral tube as rescue therapy is implemented after a failed transpyloric migration . The expected success rate is more than 90% using this strategy. This cost-effective protocol can be readily and rapidly learned through an appropriate professional training course, regardless of previous experience. Further, a real-world study (ChiCTR-INR-16009099)  is planned to verify the procedure of postpyloric placement of the spiral nasojejunal feeding tube in critically ill adults.
We thank J. K. Sun and colleagues for their interest in our paper.
Chunbo Chen is currently receiving a grant (#2014001) from the Guangdong Province Hospital Association Scientific Research Foundation and a grant (#201343) from the Guangdong General Hospital Scientific Research Foundation. Bo Lv is currently receiving a grant (#2013B021800158) from the Science and Technology Planning Project of Guangdong Province, China. Bei Hu is currently receiving a grant (#2014A020212236) from the Science and Technology Planning Project of Guangdong Province, China, a grant (#20181003) from the Administration of Traditional Chinese Medicine of Guangdong Province, China, and a grant from Guangdong Medical Scientific Research Foundation (#A2018034).
BH, BL, and CBC wrote the manuscript. All authors read and approved the final manuscript. The work has not been published previously nor is under consideration for publication elsewhere.
The authors declare that they have no competing interests.
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