Yamashiro Y, Mayama H, Yamamoto K, Sato M, Nawate G
Eur J Pediatr. 1981 May;136(2):187-92. doi: 10.1007/BF00441922.
Fifty cases of infantile plyoric stenosis were treated conservatively by transpyloric nasoduodenal tube feeding. The mean age on admission was 38.2 days. Transpyloric intubation was carried out in all patients and 45 (90%) with infantile pyloric stenosis were cured by nasuduodenal feeding. Among 5 (10%) requiring surgical intervention, abandonment of nasoduodenal feeding was the cause in only 3, and the parents chose an operation in the remaining 2 a few days after nasoduodenal feeding had been started. In non-surgically cured cases (45), mean body weights on admission and at discharge were 3,750 g and 5,177 g respectively; the duration of nasoduodenal feeding was 8 to 37 days (mean 17.2 days), mean weight gain during nasoduodenal feeding was 42.7 g/day and mean hospital stay was 39.7 days (38.0 days in 43 cases without any associated disorder). This experience suggests that nasoduodenal feeding in this report is a more effective treatment for infantile pyloric stenosis than any traditional medical treatment and it could be the preferred management in the small group of patients for whom an operation could carry a high risk, or whose parents refuse operation.
50例婴儿幽门狭窄患者通过经幽门鼻十二指肠管喂养进行保守治疗。入院时的平均年龄为38.2天。所有患者均进行了经幽门插管，45例（90%）婴儿幽门狭窄患者通过鼻十二指肠喂养治愈。在5例（10%）需要手术干预的患者中，仅3例是因为放弃鼻十二指肠喂养，其余2例是在开始鼻十二指肠喂养几天后家长选择了手术。在非手术治愈的病例（45例）中，入院时和出院时的平均体重分别为3750克和5177克；鼻十二指肠喂养的持续时间为8至37天（平均17.2天），鼻十二指肠喂养期间的平均体重增加为42.7克/天，平均住院时间为39.7天（43例无任何相关疾病的患者为38.0天）。这一经验表明，本报告中的鼻十二指肠喂养对于婴儿幽门狭窄而言是一种比任何传统医学治疗更有效的治疗方法，对于一小部分手术风险高或家长拒绝手术的患者而言，它可能是首选的治疗方法。
