Endoscopic small bowel intubation in the application of enteral nutrition.docVIP

 PAGE \* MERGEFORMAT 11 Endoscopic small bowel intubation in the application of enteral nutrition [Keywords:] endoscopy small bowel enteral nutrition catheter In recent years, enteral nutrition (enteral nutrion, EN research and application of increasingly been the focus of our hospital from 1998 through the endoscopic intubation of the small intestine anastomosis anastomotic gastrointestinal obstruction and acute severe pancreatitis ( severe acute pancreatitis, SAP in patients with EN, the following summary reports. 1 Materials and Methods 1.1 General Information Select January 1998 December -2006 gastrointestinal anastomosis on anastomotic obstruction and SAP hospitalized patients, a total of 108 cases. Including gastrointestinal anastomosis in patients with anastomotic obstruction in 93 cases, male 75 cases, 18 females . Age 36 to 82 years, mean age 51 years. preoperative diagnosis of 71 cases of gastric cancer, gastric smooth muscle tumor in 5 cases, 6 cases of gastric sarcoma, 5 cases of duodenal ulcer, duodenal carcinoma, 2 cases of pancreatic carcinoma in 4 cases. line Billroth anastomosis in 22 cases (23.66%, Billroth anastomosis 28 cases (30.11%, Roux-en-Y anastomosis in 40 cases (43.01%, total gastrectomy and esophageal jejunostomy in 3 cases (3.22%, SAP patients 15 patients, 10 males and 5 females, aged 40 to 76 years, mean age 56 years, all cases are in line with the Chinese Medical Association in 1996 Pancreatic Surgery Study Group on the diagnosis and classification criteria [1]. 1.2 The main instruments and equipment Olympus GIF-Q 240, GIF-Q30 gastroscope, crocodile clamp, non-slip wire, silicone or plastic small bowel feeding tube (120 ~ 160 cm, the front side cut 2 or 3 intestinal holes or Flocare nasal feeding tube (diameter 0.33 cm, length 120 cm, suction tubes, tongue depressor and flashlight and other supplies, ECG and blood pressure. 1.3 Methods 93 cases of gastrointestinal anastomosis, anastomotic obstruction patients,