Cao Hai-Xia, Zhang Wei, Zhang Jun, Hua Xiong-Huai, Qin Jian-Jun, Li Yin
Division of Endoscopy, Department of Thoracic Surgery, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer hospital, Zhengzhou 450008, China.
Department of Thoracic Surgery, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer hospital, Zhengzhou 450008, China.
J Thorac Dis. 2017 Mar;9(3):577-581. doi: 10.21037/jtd.2017.02.62.
Currently the available techniques for the placement of nasoenteric feeding tube (NET), utilizing transnasal gastroscope are fast and tolerable, which is known as the most popular method. However, lots of hospitals don't have this endoscopic system. Bronchoscope, which is the basic respiratory endoscope, not only has the advantages of transnasal endoscopy, but also is popular in common hospitals. We used oxygen instillation as air supply plant of the bronchoscope, which broke its application limitation in digestive tract. The aim of this study is to evaluate the feasibility and availability of the method of placing NET with the bronchoscope in patients with esophagectomy.
From January 2013 to January 2016, a total of 48 patients with esophagectomy who underwent NET placement with the bronchoscope were included in our study. Information concerning age, gender, as well as background disease of the patients was collected. The success rate, procedure duration, and complications were recorded for each patient.
The technique success rate reached 100%, procedure time ranged from 150 to 750 s, with an average time of 257 s. All patients tolerated well under local anesthesia, no complication of epistaxis or perforation occurred.
The new technique of placing NET with the bronchoscope is fast, safe, effective, and well tolerated for patients with esophagectomy.
目前，利用经鼻胃镜放置鼻肠饲管（NET）的现有技术快速且患者耐受性良好，这是最常用的方法。然而，许多医院没有这种内镜系统。支气管镜作为基本的呼吸内镜，不仅具有经鼻内镜的优点，而且在普通医院也很常见。我们使用氧气注入作为支气管镜的供气装置，打破了其在消化道应用的局限性。本研究的目的是评估在食管癌切除术后患者中使用支气管镜放置NET方法的可行性和实用性。
2013年1月至2016年1月，共有48例食管癌切除术后患者接受了支气管镜引导下的NET放置术并纳入本研究。收集了患者的年龄、性别以及基础疾病等信息。记录每位患者的成功率、手术时间和并发症情况。
技术成功率达到100%，手术时间为150至750秒，平均时间为257秒。所有患者在局部麻醉下耐受性良好，未发生鼻出血或穿孔等并发症。
支气管镜引导下放置NET的新技术快速、安全、有效，食管癌切除术后患者耐受性良好。
