Albrink M H, Foster J, Rosemurgy A S, Carey L C
Department of Surgery, University of South Florida, Tampa 33606.
Surg Endosc. 1992 Sep-Oct;6(5):259-60. doi: 10.1007/BF02498817.
Placement of feeding tubes is a common procedure for general surgeons. While the advent of percutaneous endoscopic gastrostomy has changed and improved surgical practice, this technique is contraindicated in many circumstances. In some patients placement of feeding tubes in the stomach may be contraindicated due to the risks of aspiration, gastric paresis, or gastric dysmotility. We describe a technique of laparoscopic jejunostomy tube placement which is easy and effective. It is noteworthy that this method may be used in patients who have had previous abdominal operations, and it has the added advantage of a direct peritoneal view of the viscera. We suggest that qualified laparoscopic surgeons learn the technique of laparoscopic jejunostomy.
放置饲管是普通外科医生的常见操作。虽然经皮内镜下胃造口术的出现改变并改善了外科手术实践，但在许多情况下该技术是禁忌的。在一些患者中，由于存在误吸、胃轻瘫或胃动力障碍的风险，在胃内放置饲管可能是禁忌的。我们描述了一种简单有效的腹腔镜空肠造口管放置技术。值得注意的是，这种方法可用于曾接受过腹部手术的患者，并且具有直接经腹膜观察内脏的额外优势。我们建议合格的腹腔镜外科医生学习腹腔镜空肠造口术技术。
