Troidl H, Vestweber K H, Brotke R, Riedel A, Werner H H, Hioki H
Chirurg. 1983 Dec;54(12):805-10.
In a prospective study (n = 50) the clinical usefulness of a fine-needle-catheter-jejunostomy based on the method of Delany et al. [1] was studied. In all cases the jejunostomy was inserted intraoperatively without difficulty and without complication. The set used (Intestofix) consisted of one polyurethan-catheter (75 cm length), 2.1 mm inner diameter) and of two hollow needles constructed as split-cannulas. This system has been proved in our study to be simple, rapid and safe. Patient's tolerance of the feeding was, however, unsatisfactory; diarrhea occurred on the 5th postoperative day in 35% of all patients, in addition we observed inconvenient belching (42.5%) and sensation of repletion (25%). There may be different causes for these uncomfortable symptoms; for example application schedule or the composition of food. We think that the operation itself exerts an important influence upon patient's tolerance because patients without operation but under the same conditions tolerate the nutrition via jejunostomy better than those in our study (with concomitant operation).
在一项前瞻性研究（n = 50）中，对基于德拉尼等人[1]方法的细针导管空肠造口术的临床实用性进行了研究。在所有病例中，空肠造口术均在术中顺利插入，无并发症发生。所使用的套件（Intestofix）由一根聚氨酯导管（长度75厘米，内径2.1毫米）和两根构造为分体套管的空心针组成。我们的研究已证明该系统简单、快速且安全。然而，患者对喂养的耐受性并不理想；35%的患者在术后第5天出现腹泻，此外，我们还观察到有令人不适的嗳气（42.5%）和饱腹感（25%）。这些不适症状可能有不同原因；例如给药方案或食物成分。我们认为手术本身对患者的耐受性有重要影响，因为未进行手术但处于相同条件下的患者通过空肠造口术耐受营养的情况比我们研究中的患者（同时进行手术）更好。
