Tokumo H, Ishida K, Komatsu H, Machino H, Morinaka K
Third Department of Internal Medicine, Hiroshima General Hospital, Hatsukaichi-city, Japan.
J Clin Gastroenterol. 1997 Mar;24(2):103-5. doi: 10.1097/00004836-199703000-00013.
We describe a new procedure, which can help patients with obstructive jaundice improve their quality of life (QOL). Although percutaneous transhepatic biliary drainage (PTBD) can relieve jaundice, the procedure has some disadvantages. Percutaneous endoscopic gastrostomy (PEG) is a useful method for providing nutritional support to patients unable to swallow. We have combined these two techniques. We used the combination ofa 20-F catheter and a 9-F jejunal catheter for PEG. The PTBD catheter and the 9-F jejunal catheter are connected outside the patient's body. Externally drained bile from the PTBD catheter can flow back into the jejunum, and the opening between the 20-F catheter and the 9-F jejunal catheter is used for tube feeding. This procedure was adopted in a patient. Since the procedure, the patient's nutritional status and daily living activities have improved. We conclude that the procedure is useful for tube-fed patients with obstructive jaundice.
我们描述了一种新的方法，它可以帮助阻塞性黄疸患者提高生活质量（QOL）。虽然经皮经肝胆道引流（PTBD）可以缓解黄疸，但该方法有一些缺点。经皮内镜下胃造口术（PEG）是一种为无法吞咽的患者提供营养支持的有用方法。我们将这两种技术结合了起来。我们在PEG中使用了一根20-F导管和一根9-F空肠导管的组合。PTBD导管和9-F空肠导管在患者体外相连。来自PTBD导管的体外引流胆汁可以回流到空肠，并且20-F导管和9-F空肠导管之间的开口用于管饲。该方法应用于一名患者。自采用该方法以来，患者的营养状况和日常生活活动有所改善。我们得出结论，该方法对接受管饲的阻塞性黄疸患者有用。
