Kószegi G, Jakab F
Department of Surgery, Uzsoki Teaching Hospital, Budapest, Hungary.
Acta Chir Hung. 1997;36(1-4):182-3.
Contrary to the past experience of forced parenteral nutrition nowaday's the enteral [jejunal] nutrition enjoys priority. It is not questionable, that well adjusted and controlled application of fluid, ion, fat, carbon hydrate, amino acid promoted convalescence. The experiences of the Authors supports that enteral nutrition through technically proper outperformed jejunostomy does not increase complication rate and beside well controlled food administration provides the physiologic stimules of food, the method is relatively easy and cost effective. For this reason the Authors initiated jejunostomy at the end of larger interventions such as Akyama procedure, total gastrectomy, multivisceral interventions, pancreatectomy, operations for massive gastrointestinal bleeding and finally reoperations with extreme negative N-balance and with the chance of inability of oral feeding for several days.
与过去强制进行肠外营养的经验相反，如今肠内（空肠）营养享有优先权。毫无疑问，合理调整和控制液体、离子、脂肪、碳水化合物、氨基酸的应用可促进康复。作者的经验支持，通过技术上合适的经肠营养优于空肠造口术，不会增加并发症发生率，并且在良好控制食物供应的同时提供食物的生理刺激，该方法相对简单且具有成本效益。出于这个原因，作者在诸如秋山手术、全胃切除术、多脏器手术、胰腺切除术、大量胃肠道出血手术等大型干预措施结束时，以及最终在氮平衡极度为负且有几天无法经口进食的再次手术中实施空肠造口术。
