Oakes D D, Couch N P
Arch Surg. 1975 Jul;110(7):845-6. doi: 10.1001/archsurg.1975.01360130077018.
A planned duodenal tube fistula was used in conjunction with partial gastrectomy to avoid closure of a difficult duodenal stump. Because the patient refused adequate oral feedings for various reasons, despite a functional and patent intestinal tract, the duodenostomy tude was used for alimentation. Removal of such tubes should be delayed in such patients until their oral intake is satisfactory.
计划行十二指肠造瘘术并结合部分胃切除术,以避免难以关闭的十二指肠残端闭合。由于患者因各种原因拒绝充分的经口喂养,尽管肠道功能正常且通畅,但仍使用十二指肠造瘘管进行营养支持。对于此类患者,应推迟拔除造瘘管,直到经口摄入量令人满意为止。