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优化肠内导管的护理与维护:经皮放射学放置的胃肠道腔管相关见解

Optimizing Care and Maintenance of Enteric Tubes: Insights into Percutaneous Radiologically Placed Gastrointestinal Luminal Tubes.

作者信息

Khavandi Mohammad Mahdi, Nezami Nariman, Huang Steven Y, Tam Alda L, Odisio Bruno C, Mahvash Armeen, Abdelsalam Mohamed E, Kuban Joshua D, Sheth Rahul A, Habibollahi Peiman

机构信息

Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Division of Vascular and Interventional Radiology, Department of Radiology, MedStar Georgetown University Hospital, Washington, District of Columbia.

出版信息

Semin Intervent Radiol. 2025 Jan 28;42(1):48-56. doi: 10.1055/s-0044-1801332. eCollection 2025 Feb.

Abstract

Percutaneous enteric tubes, including gastrostomy, gastrojejunostomy, and percutaneous transesophageal gastrostomy, are essential for patients who cannot maintain adequate oral nutrition or require gastric decompression due to conditions like malignant bowel obstruction. Proper care and maintenance are crucial to prevent complications and maintain function. Enteric tubes are inserted using various techniques at different locations based on patient needs and anatomical considerations. Enteric tubes play a vital role in patient care, and continued research and innovation are necessary to improve outcomes and reduce complications. Routine care involves regular flushing and site maintenance to prevent occlusion and infection. While complications are common, they can be effectively managed or avoided with proper care. This review outlines the care, maintenance protocols, and post-placement complication management for enteric tubes.

摘要

经皮肠内营养管,包括胃造口术、胃空肠造口术和经皮经食管胃造口术,对于因恶性肠梗阻等情况无法维持足够经口营养或需要胃肠减压的患者至关重要。妥善的护理和维护对于预防并发症和维持功能至关重要。根据患者需求和解剖学考虑,在不同位置使用各种技术插入肠内营养管。肠内营养管在患者护理中起着至关重要的作用,持续的研究和创新对于改善治疗效果和减少并发症是必要的。常规护理包括定期冲洗和造口部位维护,以防止堵塞和感染。虽然并发症很常见,但通过适当护理可以有效管理或避免。本综述概述了肠内营养管的护理、维护方案以及置管后并发症的管理。

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本文引用的文献

1
Percutaneous Transesophageal Gastrostomy: Procedural Technique and Outcomes.经皮经食管胃造口术:操作技术与结果。
J Vasc Interv Radiol. 2023 Nov;34(11):1901-1907. doi: 10.1016/j.jvir.2023.06.040. Epub 2023 Jul 5.
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Percutaneous Gastrostomy Tube Placement: Recognizing When Things Go Wrong.经皮胃造口管置入术:识别出现问题的情况。
Semin Intervent Radiol. 2019 Aug;36(3):264-274. doi: 10.1055/s-0039-1693983. Epub 2019 Aug 19.
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Methods of Restoring Patency to Occluded Feeding Tubes.恢复阻塞饲管通畅的方法。
Nutr Clin Pract. 1998 Jun;13(3):129-131. doi: 10.1002/j.1941-2452.1998.tb03060.x.
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CIRSE Standards of Practice Guidelines on Gastrostomy.CIRSE胃造口术实践指南标准
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