Niv Eva, Fireman Zvi, Vaisman Nachum
World J Gastroenterol. 2009 Mar 21;15(11):1281-8. doi: 10.3748/wjg.15.1281.
Postpyloric feeding is an important and promising alternative to parenteral nutrition. The indications for this kind of feeding are increasing and include a variety of clinical conditions, such as gastroparesis, acute pancreatitis, gastric outlet stenosis, hyperemesis (including gravida), recurrent aspiration, tracheoesophageal fistula and stenosis in gastroenterostomy. This review discusses the differences between pre- and postpyloric feeding, indications and contraindications, advantages and disadvantages, and provides an overview of the techniques of placement of various postpyloric devices.
幽门后喂养是肠外营养的一种重要且有前景的替代方法。这种喂养方式的适应证正在增加,包括多种临床情况,如胃轻瘫、急性胰腺炎、胃出口狭窄、呕吐(包括妊娠呕吐)、反复误吸、气管食管瘘以及胃肠吻合口狭窄。本文综述了幽门前喂养与幽门后喂养的差异、适应证与禁忌证、优缺点,并概述了各种幽门后装置的放置技术。