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内镜下幽门后置鼻肠管置入的成功率未达预期。

Success Rates for Endoscopic Placement of Post-Pyloric Nasoenteric Tube Underperform Expectations.

作者信息

Chiodi Cristina, Rai Shesh, Dryden Gerald

机构信息

Department of Medicine, University of Louisville, Louisville, KY, USA.

University of Cincinnati, Cincinnati, OH, USA.

出版信息

Curr Gastroenterol Rep. 2025 May 10;27(1):32. doi: 10.1007/s11894-025-00965-9.

Abstract

PURPOSE OF REVIEW

Enteral nutrition plays a pivotal role in maintaining nutritional status and supporting recovery in hospitalized patients who are unable to meet their caloric requirements. The benefits of enteral nutrition include preserving gut integrity, reducing infection risks, and supporting immune function, which are vital in critically ill and post-operative patients. Nasoenteric feeding tubes often serve as important tools to deliver enteral nutrition efficiently, yet their optimal placement remains a subject of significant clinical consideration.

RECENT FINDINGS

Nasoenteric feeding tubes can be compromised by placement-related complications such as displacement, malpositioning, and tube-related discomfort. Our review of the relevant literature is complemented by review of our recent data. Our own clinical experience suggests that endoscopic placement of naso-enteric feeding tubes fails during the wire exchange process.

SUMMARY

This report reviews the importance of enteral nutrition for enhancing patient outcomes, documents findings from our retrospective study on endoscopically placed nasoenteric feeding tubes and focuses on the challenges and future advancements in nasoenteric feeding tube placement techniques.

摘要

综述目的

肠内营养在维持无法满足热量需求的住院患者营养状况和支持康复方面起着关键作用。肠内营养的益处包括保持肠道完整性、降低感染风险以及支持免疫功能,这对危重症患者和术后患者至关重要。鼻肠饲管常作为有效提供肠内营养的重要工具,但其最佳放置位置仍是临床重点关注的问题。

最新发现

鼻肠饲管可能会出现与放置相关的并发症,如移位、位置不当和与导管相关的不适。我们对相关文献的综述辅以对近期数据的回顾。我们自己的临床经验表明,鼻肠饲管的内镜放置在导丝交换过程中失败。

总结

本报告回顾了肠内营养对改善患者预后的重要性,记录了我们对内镜放置鼻肠饲管的回顾性研究结果,并重点关注鼻肠饲管放置技术的挑战和未来进展。

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