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6 French Feeding tubes in MCUG

Posted by Jackie Hughes on August 29, 2018 at 4:50 AM


We would be interested to find out what tubes/catheters everyone is routinely using for a standard MCUG in babies for investigation of postnatal renal pelvic dilatation to exclude vesicoureteric reflux. We have always used the 6 Fr feeding tube but apparently this tube is not actually licenced for this use . Has anyone had a complication using this tube eg knotting in the bladder ? Does anyone use a different catheter ?


Thank you !


Jackie Hughes

PaediatrIc Radiologist

Addenbrookes Hospital, Cambridge


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4 Comments

Reply Mala Dattani
3:47 AM on September 24, 2018 
Hi,

I have always used feeding tubes for MCUG. Never encountered a problem. The pediatricians at Luton also use the same.

Mala
Reply Jackie Hughes
12:48 PM on September 25, 2018 
Thank you for responding . Where do you work ?
The feeding tube is apparently not licensed. for paed MCUG so the Trust has an issue as we had one knot because of its length and pliability . But I think most paed radiologists are using them routinely .
Reply Rosie Allan
6:53 AM on September 28, 2018 
Hi Jacqui
We use feeding tubes as well (St Georges) - sometimes go either up or down a size depending on the clinical scenario - and have never had a problem with knotting etc
I asked our paediatric urologists what they did: they said that they use feeding tubes for the small babies on NNU whose urethra is too small to take a urinary catheter , that there are many units who believe that PUV babies should be catheterised with feeding tubes not balloon catheters, and most paediatricians / neonatologists are taught to catheterise with feeding tubes.
Looks like the use of feeding tubes is standard practice
Best wishes
Rosie
Reply Mala Dattani
4:18 AM on October 2, 2018 
Jackie Hughes says...
Thank you for responding . Where do you work ?
The feeding tube is apparently not licensed. for paed MCUG so the Trust has an issue as we had one knot because of its length and pliability . But I think most paed radiologists are using them routinely .

I work at Luton. The neonatal team here use them routinely in NICU.