Chernousov A F, Teleuov M K, Shcherbakova G N, Domrachev S A, Tsyganova S T, Akimova N I
Khirurgiia (Mosk). 1995(3):12-4.
A method for enteral catheter feeding is suggested. It was applied in 60 patients after esophagoplasty. The main group consisted of 23 females and 37 males aged from 18 to 68 years. Esophageal carcinoma was observed in 31, burn stricture of the esophagus 18, and other benign diseases of the esophagus in 11 cases. All patients were subjected to extirpation of the esophagus with one-stage posteromedial esophagoplasty in 57 patients with an isoperistaltic gastric tube and in 3 patients with the colon. The control group was formed of 20 patients who underwent the same operations. Inpitan, ovolact, and hypernutril were used for enteral catheter feeding. The catheter was introduced via the nasal passage and transplant into the proximal segment of the jejunum. The mixtures were administered in drops of 5 to 7 days after the operation. Only parenteral feeding was conducted in the control group. The disorders of the alimentary status were removed quicker in patients of the main group than in the control and the incidence of postoperative complications was less. Body weight and the nitrogen balance were restored within a shorter time in the main group patients and incompetence of the esophageal anastomoses developed in a lesser number of cases.
提出了一种肠内导管喂养方法。该方法应用于60例食管成形术后患者。主要组包括23名女性和37名男性，年龄在18至68岁之间。观察到食管癌31例，食管烧伤狭窄18例，食管其他良性疾病11例。所有患者均接受食管切除术，其中57例采用一期后内侧食管成形术，用等蠕动胃管重建食管，3例用结肠重建食管。对照组由20例接受相同手术的患者组成。使用英比妥、卵清蛋白和高能要素进行肠内导管喂养。导管经鼻插入并移植到空肠近端。术后5至7天以滴注方式给予混合液。对照组仅进行肠外营养。主要组患者的营养状况紊乱比对照组更快得到改善，术后并发症发生率更低。主要组患者的体重和氮平衡在更短时间内恢复，食管吻合口功能不全的发生率也更低。
