Berger Z, Papapietro K
Departamento de Medicina, Hospital Clínico de la Universidad de Chile.
Rev Med Chil. 1999 Jan;127(1):53-8.
Enteral nutrition can be useful for the feeding of patients with acute pancreatitis, specially in the later phases of the disease.
To describe an endoscopic placement method for long nasojejunal tubes and assess its efficacy. To communicate a preliminary experience with enteral nutrition in patients with acute pancreatitis.
An endoscopic placement method for nasojejunal tubes is described. In 24 patients with acute pancreatitis, 28 tubes were placed using this method, after the second week of evolution. In 15 patients with brain damage, traditional nasojejunal feeding tubes were placed without endoscopy. The position of both types of tubes was determined by fluoroscopy with the aid of contrast media.
The endoscopic placement method was simple and the tube was placed beyond the ligament of Treitz in all patients. No traditional tube was placed in the jejunum and contrast media filled the duodenum in all cases. In patients with acute pancreatitis, enteral nutrition was well tolerated, 5 patients had a higher stool frequency and one, had an asymptomatic increase in serum amilase levels.
Long nasojejunal tubes can be easily placed beyond the ligament of Treitz with endoscopic aid and can be used for enteral feeding in patients with acute pancreatitis.
肠内营养对急性胰腺炎患者的喂养可能有用，特别是在疾病的后期阶段。
描述一种长鼻空肠管的内镜放置方法并评估其有效性。交流急性胰腺炎患者肠内营养的初步经验。
描述了一种鼻空肠管的内镜放置方法。在24例急性胰腺炎患者中，在病程第二周后使用该方法放置了28根管子。在15例脑损伤患者中，未通过内镜放置传统鼻空肠喂养管。两种类型的管子位置均借助造影剂通过荧光透视确定。
内镜放置方法简单，所有患者的管子均放置在屈氏韧带以下。所有传统管子均未放置在空肠内，所有病例造影剂均充满十二指肠。在急性胰腺炎患者中，肠内营养耐受性良好，5例患者大便次数增多，1例患者血清淀粉酶水平无症状升高。
在内镜辅助下，长鼻空肠管可轻松放置在屈氏韧带以下，可用于急性胰腺炎患者的肠内喂养。
