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猫食管造口术的正常梯度、微创技术

Normograde, minimally invasive technique for oesophagostomy in cats.

作者信息

Formaggini Luca

机构信息

'Lago Maggiore' Veterinary Clinic, Corso Cavour 3, 28040 Dormelletto (NO), Italy.

出版信息

J Feline Med Surg. 2009 Jun;11(6):481-6. doi: 10.1016/j.jfms.2008.11.004. Epub 2008 Dec 31.

Abstract

A percutaneous technique to place oesophageal feeding tubes in cats is described. Nineteen traumatised cats underwent different surgical procedures for facial and/or oral trauma and subsequent oesophagostomy. The tube placement was easy to perform, requiring a 14G over-the-needle vascular catheter, a curved forceps and a 1.2mm feeding tube. During insertion, the tube was directed aborally (normograde direction) to its definitive position in a one-step procedure. The tube was removed when the patient started to eat voluntarily. A major limit of this technique was represented by the small diameter of the feeding tube, requiring the use of a liquid diet. However, considering the absence of complications, the rapidity of the procedure and its cost efficacy, it was considered as an effective alternative to more complicated and invasive techniques, in particular if a short period of starvation is predictable.

摘要

本文描述了一种在猫身上放置食管饲管的经皮技术。19只受创伤的猫因面部和/或口腔创伤接受了不同的外科手术,并随后进行了食管造口术。饲管放置操作简便,需要一根14G的穿刺血管导管、一把弯钳和一根1.2mm的饲管。插入过程中,饲管以一步法沿口侧(正常方向)插入至最终位置。当患者开始自主进食时,将饲管取出。该技术的一个主要局限在于饲管直径较小,需要使用流食。然而,考虑到无并发症、操作迅速及其成本效益,它被认为是比更复杂和侵入性更强的技术有效的替代方法,尤其是在预计会有短时间饥饿的情况下。

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