• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Laparoscopic needle catheter jejunostomy: modification of the technique and outcome results.
【24h】

Laparoscopic needle catheter jejunostomy: modification of the technique and outcome results.

机译：腹腔镜针导管空肠造口术：技术的改进和结果。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: We describe a modification of the technique for laparoscopic jejunostomy in patients with stenosis of the upper gastrointestinal tract and assess the patients outcomes with this enteral access. METHODS: In a retrospective study of 80 patients, we evaluated the outcome of a modified technique for the laparoscopic placement of a jejunostomy catheter into the proximal jejunum. Standard laparoscopy equipment and ready-to-use jejunostomy catheters were used. After the creation of a pneumoperitoneum, the proximal jejunal loop was fixed to the parietal peritoneum. The jejunum was then punctured with a split needle, and the catheter (9F) was pushed into the jejunum. Finally, the catheter was secured with an additional purse-string suture. The external fixation was performed with nonabsorbable sutures. Enteral nutritional support with a polymeric enteral diet was initiated after fluoroscopic control on the first postoperative day at a rate of 20 ml/h. The flow rate was increased progressively until the nutritional goal of 60-80 ml/h was reached on the 3rd or 4th postoperative day. RESULTS: In all patients (n = 80), the placement site of the catheter was correct, and all patients were able to receive enteral nutrition on the 1st postoperative day. There were no intraoperative complications. The mean operating time was 51 min. Two patients developed a localized infection at the catheter site; one patient developed an abscess; and three patients had catheter obstructions. CONCLUSIONS: Patients in need of intermediate or long-term enteral nutrition may benefit from laparoscopic catheter jejunostomy. The technique described is safe, effective, and less invasive than alternative techniques of laparoscopic jejunostomy.
机译：背景：我们描述了一种上消化道狭窄患者的腹腔镜空肠造口术技术的改进，并通过这种肠内通路评估了患者的预后。方法：在一项80例患者的回顾性研究中，我们评估了改良技术的腹腔镜下空肠造口术导管置入近端空肠的效果。使用标准的腹腔镜检查设备和即用型空肠造口导管。建立气腹后，将空肠近端环固定在顶腹膜上。然后用裂针刺穿空肠，并将导管（9F）推入空肠。最后，用另外的荷包缝合线固定导管。外固定用不可吸收的缝合线进行。术后第一天以荧光镜检查后以20 ml / h的速度开始采用聚合型肠内饮食进行肠内营养支持。流量逐渐增加，直到术后第3天或第4天达到60-80 ml / h的营养目标。结果：所有患者（n = 80）的导管放置位置均正确，所有患者均在术后第一天接受肠内营养。没有术中并发症。平均操作时间为51分钟。两名患者在导管部位发生了局部感染。一名患者出现脓肿;三例患者有导管阻塞。结论：需要中度或长期肠内营养的患者可从腹腔镜导管空肠造口术中受益。与腹腔镜空肠造口术的替代技术相比，所描述的技术安全，有效且侵入性小。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号