Fernández López María Teresa, Rodríguez Vázquez Ana
Servicio de Endocrinología y Nutrición, Complexo Hospitalario Universitario de Ourense, Ourense, España.
Nutr Hosp. 2013 Jul-Aug;28(4):1341-4. doi: 10.3305/nh.2013.28.4.6414.
Home enteral nutrition (HEN) is the choice for patients who can not mantain oral intake but have a functioning gastrointestinal tract when it isn't justify keeping the patient in the hospital. The results of the HEN registry of the NADYA group in 2010 shows information related to the enteral acces route: 51% of the cases used nasogastric tubes, 27% gastrostomies, 10% oral route and 3% jejunostomies. Placement of a needle catheter jejunostomy is recommended for candidates for enteral nutrition undergoing major abdominal surgery, but publications about long-term use of this acces are scarce. We report same cases of patients whom the selected enteral acces was surgical jejunostomy. They represents the 1,14% of our patients with HEN at this moment, with a mean dwelling time of 210 ± 222 days. There has been frequent complications, but they were sligh.
家庭肠内营养(HEN)是那些无法维持经口摄入但胃肠道功能正常且住院治疗不合理的患者的选择。2010年NADYA组HEN登记处的结果显示了与肠内通路相关的信息:51%的病例使用鼻胃管,27%使用胃造口术,10%使用口服途径,3%使用空肠造口术。对于接受腹部大手术的肠内营养候选者,建议放置针导管空肠造口术,但关于这种通路长期使用的出版物很少。我们报告了一些患者的病例,他们选择的肠内通路是外科空肠造口术。目前,他们占我们HEN患者的1.14%,平均留置时间为210±222天。并发症频发,但症状轻微。