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用于恶性腹水患者的颈段食管胃管

Cervical Esophago-Gastric Tubes for Patients with Malignant Ascites.

作者信息

Liang Diana H, Kim Min P, Chan Edward Y, Gaur Puja

机构信息

Division of Thoracic Surgery, Department of Surgery, Houston Methodist Hospital, 6550 Fannin Street, Suite 1661, Houston, TX, 77030, USA.

Weill Cornell Medicine, Houston Methodist Hospital, Houston, TX, USA.

出版信息

J Gastrointest Surg. 2017 Jan;21(1):199-201. doi: 10.1007/s11605-016-3211-2. Epub 2016 Jul 29.

DOI:10.1007/s11605-016-3211-2
PMID:27474099
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5187358/
Abstract

Patients with chronic small bowel obstruction and malignant ascites from diffuse peritoneal carcinomatosis have limited options for gastrointestinal decompression as part of end-of-life palliation. Insertion of a percutaneous gastrostomy tube is relatively contraindicated in patients with ascites. Alternatively, nasogastric tube placement often leads to significant discomfort to patients and necessitates hospitalization during their last days of life. Here, we demonstrate how placing a percutaneous cervical esophago-gastric tube can allow adequate gastrointestinal decompression for terminal patients with malignant small bowel obstruction. This palliative measure allows them to remain in the comfort of their own homes after the procedure.

摘要

患有慢性小肠梗阻和弥漫性腹膜癌所致恶性腹水的患者，作为临终姑息治疗的一部分，胃肠减压的选择有限。腹水患者相对禁忌插入经皮胃造瘘管。另外，放置鼻胃管常常给患者带来极大不适，并且在其生命的最后日子里需要住院。在此，我们展示了如何放置经皮颈段食管胃管，可为患有恶性小肠梗阻的终末期患者提供充分的胃肠减压。这种姑息治疗措施使他们在术后能够舒适地待在自己家中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65bc/5187358/3761e9b5b4e4/11605_2016_3211_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65bc/5187358/eb30d5500319/11605_2016_3211_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65bc/5187358/3761e9b5b4e4/11605_2016_3211_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65bc/5187358/eb30d5500319/11605_2016_3211_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65bc/5187358/3761e9b5b4e4/11605_2016_3211_Fig2_HTML.jpg

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本文引用的文献

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Percutaneous needle decompression in treatment of malignant small bowel obstruction.经皮穿刺针减压术治疗恶性小肠梗阻
World J Gastroenterol. 2015 Feb 28;21(8):2467-74. doi: 10.3748/wjg.v21.i8.2467.
2
Gastroenteric tube feeding: techniques, problems and solutions.胃肠管饲：技术、问题与解决方法
World J Gastroenterol. 2014 Jul 14;20(26):8505-24. doi: 10.3748/wjg.v20.i26.8505.
3
Percutaneous endoscopic gastrostomy tube placement for end-stage palliation of malignant gastrointestinal obstructions.经皮内镜胃造口术管放置术用于恶性胃肠道梗阻的终末期姑息治疗。
Saudi J Gastroenterol. 2012 Mar-Apr;18(2):95-8. doi: 10.4103/1319-3767.93808.
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Interventional palliative strategies for malignant bowel obstruction.恶性肠梗阻的介入姑息治疗策略
Curr Oncol Rep. 2009 Jul;11(4):293-7. doi: 10.1007/s11912-009-0041-3.
5
Direct percutaneous jejunostomy--an underutilized interventional technique?直接经皮空肠造口术——一种未得到充分利用的介入技术？
Cardiovasc Intervent Radiol. 2008 Mar-Apr;31(2):336-41. doi: 10.1007/s00270-007-9199-y. Epub 2007 Oct 18.