Zahálka M
Chirurgické oddĕlení, Nemocnice Pelhrimov.
Rozhl Chir. 1997 Feb;76(2):76-9.
As many as 60% patients develop malnutrition during the postoperative period. Enteral nutrition can prevent its development or at least mitigate its manifestations. The author mentions the advantages, disadvantages, indications and contraindications of enteral nutrition. He mentions tho advantages and disadvantages of two routes of establishment of enteral nutrition, i.e. by a nasoenteral tube and by puncture stomy. Of many possible procedures he describes experience with a nasojejunal tube and with puncture jejunostomy. He deals with complications he recorded with both methods and presents two case-histories of less common application of puncture jejunostomy. The author prefers the use of puncture jejunostomy to that of a nasojejunal tube and recommends its use after surgery of the upper GIT and in acute necrotizing pancreatitis.
多达60%的患者在术后出现营养不良。肠内营养可以预防其发生，或者至少减轻其表现。作者提到了肠内营养的优点、缺点、适应证和禁忌证。他提到了建立肠内营养的两种途径（即通过鼻肠管和穿刺造口）的优缺点。在许多可能的操作中，他描述了使用鼻空肠管和空肠穿刺造口的经验。他讨论了这两种方法所记录的并发症，并给出了空肠穿刺造口较少见应用的两个病例史。作者更倾向于使用空肠穿刺造口而非鼻空肠管，并建议在上消化道手术后和急性坏死性胰腺炎中使用。
