Feldtman R, Archie J
Am J Surg. 1982 Mar;143(3):389-90. doi: 10.1016/0002-9610(82)90117-9.
A new technique is described wherein a J-tipped Teflon-coated stainless steel guide wire is used to facilitate the insertion of a needle-catheter jejunostomy tube. The advantages of this technique are that the guide wire is threaded down the bowel much easier than the catheter itself and also that by using the guide wire in threading the catheter over it, the hub need not be amputated, thus reducing the need for additional material to affix or glue a hub onto the catheter after completion of the procedure. Once the technique is mastered, a needle-catheter jejunostomy can be inserted in this fashion in approximately 2 to 3 minutes, thus adding minimal morbidity in terms of operating time. Nutritional support can be started much earlier without the hazard of central venous catheter infection.
本文描述了一种新技术，其中使用J形头的涂有特氟龙的不锈钢导丝来辅助针-导管空肠造口管的插入。该技术的优点在于，导丝比导管本身更容易沿肠道穿入，并且在沿导丝穿入导管时，不必切除导管座，从而减少了在操作完成后用额外材料将导管座固定或粘接到导管上的需求。一旦掌握了该技术，以这种方式插入针-导管空肠造口管大约需要2至3分钟，因此在操作时间方面增加的发病率极低。营养支持可以更早开始，而没有中心静脉导管感染的风险。
