Venskutonis Donatas, Bradulskis Saulius, Adamonis Kestutis, Urbanavicius Linas
Clinic of General Surgery, Kaunas University of Medicine, Kaunas, Lithuania.
Dig Surg. 2007;24(5):349-53. doi: 10.1159/000107715. Epub 2007 Sep 4.
BACKGROUND/AIMS: Patients often suffer from malnutrition after digestive tract surgery. It leads to a longer recovery and a higher rate of postoperative complications. Early postoperative jejunostomy feeding is a way of tackling this problem. Opinions emerge that feeding via jejunostomy catheter is not the ideal method because of its complications. Our aim was to assess a complication rate of longitudinal Witzel catheter feeding jejunostomy and complications related to the onset of enteral feeding.
A retrospective analysis of case histories of 136 patients operated on for upper digestive tract diseases at our clinic between 1992 and 2004 with catheter feeding jejunostomy as an adjunct. We interviewed our patients by telephone about the jejunostomy-related complications during the 1st postoperative year.
We observed two feeding jejunostomy-related complications (1.5%). Complications related to the onset of enteral feeding were observed in 12 cases (26.7%). There was no mortality. No complication of catheter jejunostomy was observed during the 1st postoperative year.
A longitudinal Witzel catheter jejunostomy feeding is beneficial after surgery of the upper digestive tract. It is a rather safe procedure, which can be safely started on the day of operation.
背景/目的：消化道手术后患者常出现营养不良。这会导致恢复时间延长和术后并发症发生率升高。术后早期空肠造口喂养是解决这一问题的一种方法。有人认为，由于其并发症，通过空肠造口导管喂养并非理想方法。我们的目的是评估纵向维泽尔导管空肠造口喂养的并发症发生率以及与肠内喂养开始相关的并发症。
对1992年至2004年间在我院接受上消化道疾病手术并采用导管空肠造口作为辅助治疗的136例患者的病历进行回顾性分析。我们通过电话采访患者，了解术后第1年与空肠造口相关的并发症情况。
我们观察到2例与空肠造口喂养相关的并发症（1.5%）。观察到12例与肠内喂养开始相关的并发症（26.7%）。无死亡病例。术后第1年未观察到导管空肠造口的并发症。
纵向维泽尔导管空肠造口喂养对上消化道手术后有益。这是一种相当安全的操作，可以在手术当天安全开始。
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