Zschiedrich M
Dtsch Med Wochenschr. 1987 Aug 14;112(33):1261-3. doi: 10.1055/s-2008-1068233.
Total enteric feeding through a filiform indwelling catheter is being used more and more. Various indwelling catheters have been developed for this purpose, one of them a catheter (Salvisond) which has a "pulling" balloon, for advancing the catheter tip through the stomach into the small intestine, while a retaining balloon is inflated, once the tip has reached its final location, to prevent its dislocation. In a patient with Crohn's disease the retaining balloon, for unforeseeable and unexplained reasons, expanded further in situ and could not be deflated, causing a small-intestinal ileus and requiring operative removal of the catheter.
通过丝状留置导管进行全肠内喂养的应用越来越广泛。为此已开发出各种留置导管,其中一种导管(Salvisond)带有一个“牵拉”球囊,用于将导管尖端推进穿过胃进入小肠,当尖端到达最终位置后,再将一个固定球囊充气以防止其移位。在一名克罗恩病患者中,固定球囊出于不可预见且无法解释的原因在原位进一步扩张且无法放气,导致小肠梗阻,需要通过手术取出导管。