Coleman S L, Miller W E, Stroehlein J R, Hoffman H N
Am J Dig Dis. 1977 May;22(5):462-4. doi: 10.1007/BF01071896.
A patient with recurrent intestinal obstruction and jejunocutaneous fistula was referred for treatment of the latter condition. Management with total parenteral nutrition was complicatied by bacteremia. Subsequently, a double-lumen tube was passed via an existing gastrostomy for purposes of aspirating above the level of the fistula and infusing appropriate nutrients and fluids distally. A period of marked clinical improvement was followed by increased fistula output and evidence of intestinal obstruction secondary to gaseous distention of a sealed latex terminal balloon which was retrieved only after percutaneous puncture. The unusual complication of prolonged intestinal intubation is discussed with special reference to this nonsurgical method of managing the impacted balloon and tube. Factors affecting balloon distention are discussed and the necessity of venting intestinal balloons reemphasized.
一名患有复发性肠梗阻和空肠皮肤瘘的患者因后者的病情前来接受治疗。全肠外营养治疗出现了菌血症并发症。随后，通过现有的胃造口插入一根双腔管，用于在瘘管上方抽吸，并向远端输注适当的营养物质和液体。经过一段时间显著的临床改善后，瘘管排出量增加，并有证据表明由于密封的乳胶末端球囊气体膨胀导致肠梗阻，该球囊仅在经皮穿刺后才取出。本文特别参考这种处理受阻球囊和管子的非手术方法，讨论了长时间肠道插管这一不寻常的并发症。讨论了影响球囊膨胀的因素，并再次强调了给肠道球囊排气的必要性。
