Modified Gastric Biopsy Forceps as a Flexible Stylet-Assisted Nasogastric Tube Insertion in Anesthetized and Intubated Patients: A Prospective Randomized Controlled Study

Background: Insertion of a nasogastric tube in an anesthetized intubated patient may be difficult. A is prone to coil and kink during insertion. The authors hypothesized that gastric biopsy forceps could used as flexible stylet-assisted It can improve the first-attempt success rate over conventional blind technique insertion patient. Materials Methods: Eighty adult patients who required intraoperative insertions were randomized assisted (stylet group) or (control for tube. rates, duration insertion, incidences coiling kinking tube, occurrences complications recorded. Results: was 92.5% stylet group compared with 65% control (p=0.013). overall higher (100% versus 85%, p=0.026). mean time insert shorter (24.85±9.62 62.4±59.38 seconds, p=0.002). lower (7.5% 32.5%, p=0.005). incidence minor bleeding group, but not statistically significant (2.5% 17.5%, p=0.057). No other observed either groups. Conclusion: forceps-assisted resulted rate, less than without serious complications. Keywords: Nasogastric tube; Insertion; Stylet; Gastric forceps; Success