Schulz M A, Santanello S A, Monk J, Falcone R E
Regional Trauma Services, Grant Medical Center, Columbus, Ohio 43215.
Int Surg. 1993 Jan-Mar;78(1):79-82.
Post pyloric placement of small bore feeding tubes can be an elusive goal. Failure to achieve the post pyloric position can result in fatal complications. The following study presents a cost-effective, rapid technique for achieving post pyloric placement of feeding tubes utilizing gastric insufflation and right lateral decubitus positioning. Four study groups were identified. Group I utilized the new technique as first attempt (n = 21). Group 2 utilized the traditional, standard technique of insertion as first attempt (n = 20). Group 3 consisted of Group I failures after which the new technique was utilized (n = 19) Group 4 consisted of Group 3 failures after which the new technique was reattempted. Overall success rate of the new technique was 93%. This was highly significant with p < 0.0001. No significant difference was noted between inserters or type of tube used. The new technique described required no expensive equipment, minimal training and consistently allowed for transpyloric passage of the feeding tube.
幽门后放置细径喂养管可能是一个难以实现的目标。未能达到幽门后位置可能导致致命并发症。以下研究提出了一种利用胃内充气和右侧卧位实现喂养管幽门后放置的经济高效、快速的技术。确定了四个研究组。第一组首次尝试使用新技术（n = 21）。第二组首次尝试使用传统的标准插入技术（n = 20）。第三组由第一组失败后使用新技术的患者组成（n = 19）。第四组由第三组失败后再次尝试新技术的患者组成。新技术的总体成功率为93%。这具有高度显著性，p < 0.0001。在插入者或使用的管型之间未观察到显著差异。所描述的新技术不需要昂贵的设备，培训要求最低，并始终能使喂养管通过幽门。
