经皮经胃用超薄内镜放置空肠喂养管
Percutaneous transgastric placement of jejunal feeding tubes with an ultrathin endoscope.
作者信息
Adler Douglas G, Gostout Christopher J, Baron Todd H
机构信息
Division of Gastroenterology and Hepatology and The Developmental Endoscopy Unit, Mayo Clinic, Rochester, Minnesota, USA.
出版信息
Gastrointest Endosc. 2002 Jan;55(1):106-10. doi: 10.1067/mge.2002.119257.
BACKGROUND
Placement of jejunal feeding tubes in patients with PEG tubes by conventional techniques is often difficult. This is a description of a simple method for placement of jejunal tubes by using an ultrathin endoscope. This method does not always require conscious sedation.
METHODS
An ultrathin endoscope is passed through a mature gastrostomy tract to the proximal jejunum. A guidewire passed through the endoscope and placed beyond the ligament of Treitz is then used under fluoroscopy to place a transgastric jejunal feeding tube.
OBSERVATIONS
Sixteen jejunal feeding tube placements were performed in 13 patients over a period of 20 months. Six patients required conscious sedation. Jejunal tubes had feeding channels of 10 to 12F. There were no complications. Feedings began on the day of placement.
CONCLUSIONS
Ultrathin endoscopes can be used to place jejunal feeding tubes by means of the transgastric route. The procedure is simple, quick, and safe. In some patients, the use of conscious sedation can be avoided.
背景
通过传统技术在经皮内镜下胃造口术（PEG）患者中放置空肠喂养管通常很困难。本文描述了一种使用超薄内镜放置空肠管的简单方法。该方法并非总是需要清醒镇静。
方法
将超薄内镜经成熟的胃造口通道插入至空肠近端。然后在透视引导下，利用一根经内镜插入并置于屈氏韧带远端的导丝来放置经胃空肠喂养管。
观察结果
在20个月的时间里，对13例患者进行了16次空肠喂养管放置操作。6例患者需要清醒镇静。空肠管的喂养通道为10至12F。未出现并发症。放置当天即开始喂养。
结论
超薄内镜可用于经胃途径放置空肠喂养管。该操作简单、快速且安全。在某些患者中，可避免使用清醒镇静。
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