Lambiase R E, Dorfman G S, Cronan J J, Paolella L P, Caldwell M E
Department of Diagnostic Radiology, Rhode Island Hospital, Providence 02902.
JPEN J Parenter Enteral Nutr. 1988 Sep-Oct;12(5):513-20. doi: 10.1177/0148607188012005513.
As alternatives to per os feeding and nutritional support increase in number and complexity, the interventional radiologist has come to play a more significant role in the creation and maintenance of nutritional access. In very difficult access cases, the concerted effort of the nutritional surgeon and the radiologist is often required. We describe several such situations which have been successfully managed at our institution. The indications for and techniques of percutaneous reestablishment of surgically placed jejunostomy tubes, the percutaneous conversion of gastrostomy to jejunostomy tubes with retention of the gastrostomy tube, and percutaneous placement of an inferior vena caval Hickman catheter are all described in detail.
随着经口喂养和营养支持的替代方式数量增加且复杂性提高，介入放射科医生在建立和维持营养通路方面发挥着更为重要的作用。在非常难以建立通路的病例中，通常需要营养外科医生和放射科医生共同努力。我们描述了在我们机构成功处理的几种此类情况。详细介绍了经皮重建外科置入的空肠造口管的适应证和技术、胃造口管保留的情况下经皮将胃造口管转换为空肠造口管以及经皮置入下腔静脉希克曼导管的情况。
