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使用针导管空肠造口术进行术后营养支持。

Postoperative nutritional support using needle catheter feeding jejunostomy.

作者信息

Delany H M, Carnevale N, Garvey J W, Moss G M

出版信息

Ann Surg. 1977 Aug;186(2):165-70. doi: 10.1097/00000658-197708000-00007.

DOI:10.1097/00000658-197708000-00007
PMID:407853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1396698/
Abstract

Needle catheter jejunostomy was used as an adjunctive surgical procedure in 110 patients. In 19 patients (or 17%) the jejunostomy was of value for the administration of post-operative nutritional support using an elemental diet and it may serve as an alternative route for the administration of supplementing fluids and electrolytes if intestinal function is intact. The clinical experience with the catheter jejunostomy establishes it as a satisfactory technique for postoperative nutritional support in patients requiring esophageal and proximal gastric resection and repair, and gastric surgery in the elderly and debilitated. It is also useful in patients undergoing complicated biliary, pancreatic, and duodenal surgery in whom anastomotic difficulties are anticipated.

摘要

110例患者采用针式导管空肠造口术作为辅助手术。19例患者(占17%)的空肠造口术对于使用要素饮食进行术后营养支持具有价值,并且如果肠道功能完好,它可作为补充液体和电解质的替代途径。导管空肠造口术的临床经验证实,对于需要进行食管和近端胃切除及修复的患者、老年体弱患者的胃部手术,它是一种令人满意的术后营养支持技术。对于预计存在吻合困难的复杂胆道、胰腺和十二指肠手术患者,它也很有用。

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1
Postoperative nutritional support using needle catheter feeding jejunostomy.使用针导管空肠造口术进行术后营养支持。
Ann Surg. 1977 Aug;186(2):165-70. doi: 10.1097/00000658-197708000-00007.
2
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引用本文的文献

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3
Enteral and parenteral feeding in the dysphagic patient.
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4
[Early postoperative enteral feeding following esophageal resection].
Langenbecks Arch Chir. 1988;373(4):248-55. doi: 10.1007/BF01261818.
5
Alternative methods of nutrition in the postoperative phase.
World J Surg. 1986 Feb;10(1):95-101. doi: 10.1007/BF01656095.
6
Early postoperative feeding with elemental diet.术后早期给予要素饮食。
Br Med J. 1979 Feb 3;1(6159):293-5. doi: 10.1136/bmj.1.6159.293.

本文引用的文献

1
MANAGEMENT OF INTESTINAL FISTULAS.肠瘘的管理
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2
Alternate routes of surgical fluid administration.手术液体给药的替代途径。
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3
Use of a chemically defined, liquid, elemental diet for nutritional management of fistulas of the alimentary tract.使用化学组成明确的液态要素膳对消化道瘘进行营养管理。
Am J Surg. 1971 Feb;121(2):174-83. doi: 10.1016/0002-9610(71)90096-1.
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Surgical nutrition.外科营养
Med Clin North Am. 1970 Nov;54(6):1367-81.
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Parenteral nutrition in surgery.外科手术中的肠外营养
Br J Surg. 1965 Oct;52(10):795-800. doi: 10.1002/bjs.1800521023.
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Jejunostomy by a needle catheter technique.采用针导管技术进行空肠造口术。
Surgery. 1973 May;73(5):786-90.
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The control of pancreatic secretion.胰腺分泌的控制
Gut. 1972 Apr;13(4):308-17. doi: 10.1136/gut.13.4.308.
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The role of surgery and hyperalimentation in therapy of gastrointestinal-cutaneous fistulae.手术及胃肠外营养在胃肠皮肤瘘治疗中的作用。
Ann Surg. 1974 Oct;180(4):393-401. doi: 10.1097/00000658-197410000-00003.
9
Pancreatic secretion in response to jejunal feeding of elemental diet.对空肠给予要素饮食的反应中胰腺的分泌情况。
Ann Surg. 1974 Aug;180(2):228-31. doi: 10.1097/00000658-197408000-00017.
10
A comparison of nutritional gains resulting from intravenous and enteral feeding.
Surg Gynecol Obstet. 1974 Aug;139(2):179-84.