Toh Yoon Ezekiel, Nishihara Kazuki, Murata Hirohiko
Department of Internal Medicine, Hiroshima Kyoritsu Hospital, Japan.
Intern Med. 2016;55(20):2945-2950. doi: 10.2169/internalmedicine.55.6915. Epub 2016 Oct 15.
For nutritional support of critically ill patients, the enteral route is preferred over the parenteral route. Although nasojejunal feeding can be superior to gastric feeding when gastrointestinal symptoms occur, it does not necessarily solve the problem of large gastric residual volumes. We report the successful use of a newly developed nasojejunal feeding tube with gastric decompression function in an 84-year-old man with severe pneumonia. After gastric feeding was considered not well tolerated, the use of this tube improved the delivery of nutrition until the patient was stable enough to undergo percutaneous endoscopic gastrostomy.
对于重症患者的营养支持,肠内途径优于肠外途径。尽管当出现胃肠道症状时,鼻空肠喂养可能优于胃喂养,但它不一定能解决胃残余量较大的问题。我们报告了在一名84岁重症肺炎男性患者中成功使用一种新开发的具有胃减压功能的鼻空肠喂养管的情况。在认为胃喂养耐受性不佳后,使用这种管子改善了营养输送,直到患者稳定到足以接受经皮内镜下胃造口术。