Multidisciplinary practical guidelines for gastrointestinal access for enteral nutrition and decompression from the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, with endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE).

Itkin M; DeLegge MH; Fang JC; McClave SA; Kundu S; Janne dOthee B; Martinez Salazar GM; Sacks D; Swan TL; Towbin RB; Walker TG; Wojak JC; Zuckerman DA; Cardella JF

首页> 外文期刊>Journal of vascular and interventional radiology: JVIR >Multidisciplinary practical guidelines for gastrointestinal access for enteral nutrition and decompression from the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, with endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE).

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Multidisciplinary practical guidelines for gastrointestinal access for enteral nutrition and decompression from the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, with endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE).

机译：介入放射学学会和美国胃肠病学协会（AGA）研究所提供的肠胃营养和减压胃肠道多学科实践指南，并得到了加拿大介入放射学协会（CIRA）和欧洲心血管与介入放射学会（CIRSE）的认可。

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Tube feeding has been practiced for more than 400 years (1). In addition to feeding, gastrointestinal (GI) access can be used for decompression in cases of enteral obstruction.Temporary access can be achieved with a nasogastric (NG), oral gastric (OG), nasojejunal (NJ), or oral jejunal (OJ) feeding tube. These tubes can be placed "blindly" at the bedside, with the use of image guidance (eg, fluoroscopy, ultrasound), or with the use of endoscopic guidance. Unfortunately, natural orifice tubes often fail because of clogging as a result of their relatively small diameter or inadvertent dislodgement (2). More permanent enteral access can be obtained surgically (open or laparoscopic) or percutaneously with endoscopic or image guidance, resulting in a gastrostomy, a jejunostomy, or a combination gastrojejunostomy. Although the indications for these enteral access devices are often similar, there are specific situations in which a particular enteral access tube may be more appropriate. More recently, the placement of a tube into the cecum (ie, cecostomy) has been described for GI decompression and as a treatment of fecal incontinence and constipation (3)

机译：管饲已经实践了400多年（1）。除进食外，肠梗阻患者还可通过胃肠道进行减压，鼻胃（NG），胃（OG），鼻空肠（NJ）或空肠（OJ）可实现临时进入喂食管。可以使用图像引导（例如，透视，超声）或使用内窥镜引导，将这些试管“盲目”放置在床旁。不幸的是，天然孔口管经常由于其相对较小的直径或疏忽的位移而堵塞（2）。可以通过外科手术（开放式或腹腔镜式）或在内窥镜或图像引导下经皮获得更永久的肠通路，从而导致胃造口术，空肠造口术或胃泌尿空肠造口术的组合。尽管这些肠胃进入装置的指示通常相似，但是在特定情况下，特定的肠胃进入管可能更合适。最近，已描述了将导管置入盲肠（即盲肠切开术）用于胃肠道减压以及治疗大便失禁和便秘（3）

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《Journal of vascular and interventional radiology: JVIR》 |2011年第8期|共18页
作者
Itkin M; DeLegge MH; Fang JC; McClave SA; Kundu S; Janne dOthee B; Martinez Salazar GM; Sacks D; Swan TL; Towbin RB; Walker TG; Wojak JC; Zuckerman DA; Cardella JF;
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1. Multidisciplinary practical guidelines for gastrointestinal access for enteral nutrition and decompression from the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, with endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE). [J] . Itkin M, DeLegge MH, Fang JC, Gastroenterology . 2011,第2期

机译：介入放射学协会和美国胃肠病学协会（AGA）研究所提供的胃肠道营养和减压胃肠道多学科实践指南，并得到了加拿大介入放射学协会（CIRA）和欧洲心血管与介入放射学协会（CIRSE）的认可。
2. Society of Interventional Radiology Reporting Standards for Thoracic Central Vein Obstruction: Endorsed by the American Society of Diagnostic and Interventional Nephrology (ASDIN), British Society of Interventional Radiology (BSIR), Canadian Interventional Radiology Association (CIRA), Heart Rhythm Society (HRS), Indian Society of Vascular and Interventional Radiology (ISVIR), Vascular Access Society of the Americas (VASA), and Vascular Access Society of Britain and Ireland (VASBI) [J] . Dolmatch Bart L., Gurley John C., Baskin Kevin M., Nature reviews neuroscience . 2019,第2期

机译：胸部中央静脉阻塞的介入放射学报报告标准：由美国诊断与介入肾脏（Asdin），英国介入放射学（BSIR），加拿大介入放射学协会（CIRA），心律社会（HRS），印度血管和介入放射学（ISVIR），美洲血管进入学会（VASA），英国和爱尔兰的血管进入学会（VASBI）
3. Guidelines for Peripheral and Visceral Vascular Embolization Training: joint writing groups of the Standards of Practice Committees for the Society of Interventional Radiology (SIR), Cardiovascular and Interventional Radiological Society of Europe (CIRSE), and Canadian Interventional Radiology Association (CIRA). [J] . Golzarian J, Sapoval MR, Kundu S, Journal of vascular and interventional radiology: JVIR . 2010,第4期

机译：周围和内脏血管栓塞训练指南：介入放射学会（SIR），欧洲心血管与介入放射学会（CIRSE）和加拿大介入放射学会（CIRA）的实践标准委员会的联合撰写小组。
4. European guidelines on chronic mesenteric ischaemia – joint UnitedEuropean Gastroenterology European Association for Gastroenterology Endoscopyand Nutrition European Society of Gastrointestinal and Abdominal RadiologyNetherlands Association of Hepatogastroenterologists Hellenic Society ofGastroenterology Cardiovascular and Interventional Radiological Society ofEurope and Dutch Mesenteric Ischemia Study group clinical guidelines on thediagnosis and treatment of patients with chronic mesentericischaemia [O] . Luke G Terlouw, Adriaan Moelker, Jan Abrahamsen, 2020

机译：欧洲慢性肠系膜缺血性指南-联合联合欧洲胃肠病学欧洲胃肠病学协会内窥镜检查和营养欧洲胃肠道和腹部放射学学会荷兰希腊胃肠病学家协会胃肠病学心血管和介入放射学会欧洲和荷兰的肠系膜缺血研究小组关于肠系膜患者的诊治缺血
5. ACC/AHA 2005 Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic): Executive Summary A Collaborative Report From the American Association for Vascular Surgery/Society for Vascular Surgery,⁎⁎AAVS/SVS when Guideline initiated, now merged into SVSSociety for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease) Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation [O] . Hirsch Alan T., Haskal Ziv J., Hertzer Norman R., 2006

机译：ACC / AHA 2005年外周动脉疾病（下肢，肾，肠系膜和腹主动脉）患者治疗指南：执行摘要美国血管外科协会/血管外科协会的合作报告，⁎⁎AAVS/ SVS指南启动时，现已合并为SVSS心血管血管病学和介入学会，血管医学和生物学学会，介入放射学学会以及ACC / AHA实践指南工作组（制定治疗周围动脉疾病患者指南的撰写委员会）疾病）得到美国心血管和肺康复协会的认可；国家心肺血液研究所；血管护理学会；跨大西洋跨社会共识；和血管疾病基金会

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