Nutrition in critically ill patients the jejunum Experience in the application.docVIP

 PAGE \* MERGEFORMAT 11 Nutrition in critically ill patients the jejunum Experience in the application [Keywords:] Enteral Nutrition Enteral nutrition (EN is economic, safe and simple way of nutritional support in critically ill patients and can not eat by mouth is particularly important in the treatment of patients. Retrospectively analyzed 40 cases of critically ill patients using endoscopic nasal jejunal tube or jejunum ostomy (PEJ early jejunal nutrition in the clinical data, satisfactory results are reported below. 1 Materials and Methods 1.1 Clinical data in our department from January 2006 to January 2008 in 40 critically ill patients under nasal endoscopy with jejunal or gastric tube into the jejunum ostomy line enteral nutrition, 25 males and 15 females, age 25 ~ 82 years, mean age 53 years. of which 30 cases of cerebral vascular accident, traumatic brain injury and its sequelae, including traumatic brain injury in 14 cases, 7 cases of cerebral hemorrhage, cerebral thrombosis in 9 patients. because of a nasogastric tube into the stomach after a serious emptying or regurgitation and aspiration risk, the use of TIF by the endoscopic gastrojejunostomy .10 cases of acute pancreatitis, are in line with the Chinese Medical Association Guide to the Chinese diagnostic criteria for diagnosis and treatment of acute pancreatitis [1], in which mild acute pancreatitis (MAP8 cases of severe acute pancreatitis (SAP) 2 cases. 1.2 Equipment Olympus-XQ240, Olympus-Q260 gastroscope, Flocare nose bowel (diameter 0.33cm, length 145cm, blue zebra slip guide wire, Freka intestinal feeding tube, Freka gastric fistula. 1.3 Methods 10 cases of acute pancreatitis were restored in their bowel movements, flatus, abdominal distension when no nasal jejunal feeding tube placement, the use of bedside X line assisted by endoscopy into the joint guide wire, catheter after the injection contrast agent confirmed that the feeding tube into more than 30cm ligament Wyman si