胃镜辅助放置鼻胃管和空肠营养管
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欧希龙, 孙为豪, 曹大中, 俞 谦, 俞 婷, 产松苗, 陈国胜, 颜 芳,
胃镜;空肠营养管;鼻胃管;置管方法,欧希龙,曹大中,俞谦,俞婷,产松苗,陈国胜,颜芳,张有珍,吴自英,刘顺英,孙为豪,通讯作者:,电话:,收稿日期:,接受日期:,Endoscopicallyassistednasogastritubeandnasojej
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欧希龙, 曹大中, 俞谦, 俞婷, 产松苗, 陈国胜, 颜芳, 张有珍, 吴自英, 刘顺英, 东南大学附属中大医院消化科 江苏省南京市 210009
孙为豪, 南京医科大学附属第一医院老年医学科 江苏省南京市 210009
通讯作者: 欧希龙, 210009, 江苏省南京市, 东南大学附属中大医院消化科. ouxilong@126.com
电话: 025-83272024
收稿日期: 2006-11-29 接受日期: 2006-12-22
Endoscopically assisted nasogastri tube and nasojejunal tube placement
Xi-Long Ou, Wei-Hao Sun, Da-Zhong Cao, Qian Yu, Ting Yu, Song-Miao Chan, Guo-Sheng Chen, Fang Yan, You-Zhen Zhang, Zi-Ying Wu, Shun-Ying Liu
Xi-Long Ou, Da-Zhong Cao, Qian Yu, Ting Yu, Song-Miao Chan, Guo-Sheng Chen, Fang Yan, You-Zhen Zhang, Zi-Ying Wu, Shun-Ying Liu,Department of Gastroenterology, Zhongda Hospital Affiliated to Southeast University, Nanjing 210009, Jiangsu Province, China
Wei-Hao Sun,Department of Geriatrics, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China
Correspondence to:Xi-Long Ou, Department of Gastroenterology, Zhongda Hospital Affiliated to Southeast University, Nanjing 210009, Jiangsu Province, China. ouxilong@126.com
Received:2006-11-29 Accepted:2006-12-22
AbstractAIM:To investigate the path of enteral nutrition by endoscopic placement of nasogastric or nasojejunal tubes.
METHODS: The nasogastric tubes were placed in the gastric cavity of 8 patients by pushing endoscope after being clipped by foreign body forceps, and 3 patients by guide wire. Clipped by foreign body forceps, the nasojejunal tubes were placed in 46 patients by pushing endoscopy through the Treitz ligament.
RESULTS: Nasogastric tubes placement were performed successfully in all the 11 patients. The success rate of nasojejunal tube placement was also 100% after using modified methods. Of the 46 cases, 29 received nasointestinal tubes while 17 received triple-lumen tubes. Curvature, snaping-back and looping occurred in 7 cases, but the tubes were re-placed successfully after backing off. When the endoscope was retired, 3 nasointestinal tubes dropped off. The placement was performed successfully with a modified method in 2 cases at the 2nd time and 1 case at the 3rd time. There were no severe complications. The level of amylase rose in only 1 case after placement.
CONCLUSION: Endoscopic placement of nasogastric tubes is simple, feasible, and suitable for the patients difficult to be placed by routine method. The modified method can achieve one-time placement of nasointestinal tube under Treitz ligament with less side effect and high success rate.
Key Words: Endoscopy; Nasogastric tube; Nasojejunal feeding tube; Placemen method
Ou XL, Sun WH, Cao DZ, Yu Q, Yu T, Chan SM, Chen GS, Yan F, Zhang YZ, Wu ZY, Liu SY. Endoscopically assisted nasogastri tube and nasojejunal tube placement. Shijie Huaren Xiaohua Zazhi 2007;15(6):655-658
摘要
目的: 探讨胃镜下放置鼻胃管和空肠营养管建立肠内营养途径的方法 ......
欧希龙, 曹大中, 俞谦, 俞婷, 产松苗, 陈国胜, 颜芳, 张有珍, 吴自英, 刘顺英, 东南大学附属中大医院消化科 江苏省南京市 210009
孙为豪, 南京医科大学附属第一医院老年医学科 江苏省南京市 210009
通讯作者: 欧希龙, 210009, 江苏省南京市, 东南大学附属中大医院消化科. ouxilong@126.com
电话: 025-83272024
收稿日期: 2006-11-29 接受日期: 2006-12-22
Endoscopically assisted nasogastri tube and nasojejunal tube placement
Xi-Long Ou, Wei-Hao Sun, Da-Zhong Cao, Qian Yu, Ting Yu, Song-Miao Chan, Guo-Sheng Chen, Fang Yan, You-Zhen Zhang, Zi-Ying Wu, Shun-Ying Liu
Xi-Long Ou, Da-Zhong Cao, Qian Yu, Ting Yu, Song-Miao Chan, Guo-Sheng Chen, Fang Yan, You-Zhen Zhang, Zi-Ying Wu, Shun-Ying Liu,Department of Gastroenterology, Zhongda Hospital Affiliated to Southeast University, Nanjing 210009, Jiangsu Province, China
Wei-Hao Sun,Department of Geriatrics, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China
Correspondence to:Xi-Long Ou, Department of Gastroenterology, Zhongda Hospital Affiliated to Southeast University, Nanjing 210009, Jiangsu Province, China. ouxilong@126.com
Received:2006-11-29 Accepted:2006-12-22
AbstractAIM:To investigate the path of enteral nutrition by endoscopic placement of nasogastric or nasojejunal tubes.
METHODS: The nasogastric tubes were placed in the gastric cavity of 8 patients by pushing endoscope after being clipped by foreign body forceps, and 3 patients by guide wire. Clipped by foreign body forceps, the nasojejunal tubes were placed in 46 patients by pushing endoscopy through the Treitz ligament.
RESULTS: Nasogastric tubes placement were performed successfully in all the 11 patients. The success rate of nasojejunal tube placement was also 100% after using modified methods. Of the 46 cases, 29 received nasointestinal tubes while 17 received triple-lumen tubes. Curvature, snaping-back and looping occurred in 7 cases, but the tubes were re-placed successfully after backing off. When the endoscope was retired, 3 nasointestinal tubes dropped off. The placement was performed successfully with a modified method in 2 cases at the 2nd time and 1 case at the 3rd time. There were no severe complications. The level of amylase rose in only 1 case after placement.
CONCLUSION: Endoscopic placement of nasogastric tubes is simple, feasible, and suitable for the patients difficult to be placed by routine method. The modified method can achieve one-time placement of nasointestinal tube under Treitz ligament with less side effect and high success rate.
Key Words: Endoscopy; Nasogastric tube; Nasojejunal feeding tube; Placemen method
Ou XL, Sun WH, Cao DZ, Yu Q, Yu T, Chan SM, Chen GS, Yan F, Zhang YZ, Wu ZY, Liu SY. Endoscopically assisted nasogastri tube and nasojejunal tube placement. Shijie Huaren Xiaohua Zazhi 2007;15(6):655-658
摘要
目的: 探讨胃镜下放置鼻胃管和空肠营养管建立肠内营养途径的方法 ......
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