Merrick H W, Howard J M
Department of Surgery, Medical College of Ohio, Toledo 43699.
JPEN J Parenter Enteral Nutr. 1990 Nov-Dec;14(6):660-1. doi: 10.1177/0148607190014006660.
Jejunostomies can be effective in permitting postoperative nutritional support, particularly in the patient with complicated gastrointestinal disease. In the case presented, however, distension of the Foley balloon catheter, used as the jejunostomy tube, led to intestinal obstruction which was not initially detected. Following radiographic identification of the problem, removal of the air from the Foley balloon allowed the patient to complete his convalescence from surgery. The possibility of obstruction from the Foley jejunostomy catheter should be recognized as a potential problem in the postoperative period.
空肠造口术在术后营养支持方面可能是有效的,尤其是对于患有复杂胃肠道疾病的患者。然而,在本文所述病例中,用作空肠造口管的Foley气囊导管膨胀导致肠梗阻,而最初并未被发现。经影像学检查确定问题后,抽出Foley气囊内的空气使患者得以完成术后康复。应认识到Foley空肠造口导管导致梗阻的可能性是术后潜在的一个问题。