Meehan S E, Wood R A, Cuschieri A
Am J Surg. 1984 Sep;148(3):325-30. doi: 10.1016/0002-9610(84)90464-1.
For patients who require lengthy periods of enteral nutrition or gastrointestinal decompression, the use of a tube placed through a cervical pharyngostomy provides a convenient means of access to the upper gastrointestinal tract. The discomfort and complications of nasogastric intubation can be avoided, and the use of parenteral nutrition can be reduced in many cases where the gastrointestinal tract is functioning but the patient is unable to ingest food normally. The result of this technique in 42 patients over a 4 year period have been described herein. The patients found the method comfortable, cosmetically acceptable, and easily managed both in the hospital and at home. The technique of inserting the tube through the pyriform sinus is easy and safe to perform, and there have been no major complications in using the technique for periods up to 119 days. If accidentally displaced, the tube is easily reinserted through the neck without special equipment and with no discomfort. The method can provide a considerable improvement in the effectiveness of overall patient management. We suggest it could be more widely used in general surgical practice.
对于需要长期肠内营养或胃肠减压的患者，通过颈咽部造口置入导管为进入上消化道提供了一种便捷的途径。可以避免鼻胃管插管带来的不适和并发症，并且在许多胃肠道功能正常但患者无法正常摄入食物的情况下，可以减少肠外营养的使用。本文描述了4年期间42例患者应用该技术的结果。患者发现该方法舒适、美观且易于接受，无论是在医院还是在家中都易于管理。通过梨状窝插入导管的技术操作简便、安全，使用该技术长达119天未出现重大并发症。如果导管意外移位，无需特殊设备且不会引起不适，可轻松经颈部重新插入。该方法可显著提高患者整体管理的效果。我们建议它可在普通外科实践中更广泛地应用。
