X线电视监视下置入鼻饲管在治疗食管贲门癌术后并发症中的应用

Application of nasointestinal feeding tube in treatment of postoperative complication of carcinoma the esophagus and gastric cardia through putting nasointestinal feeding tube by X-Ray television

目的探讨食管贲门癌术后发生吻合口瘘、胃排空障碍、胸胃瘘等并发症的有效治疗途径。方法分析31例食管癌贲门癌术后患者在X线电视监视下置入鼻饲管的资料。结果本组鼻饲管置入成功率93.55%(29/31),平均置管操作时间15分钟,无各种并发症发生。鼻饲管维持时间9—78天,平均42天,除1例死于肺梗塞外,其余30例保守治愈,效果满意。结论食管贲门癌术后在X线电视监视下置入鼻饲管实施十二指肠内营养支持治疗的方法简便、安全、低廉、成功率高、并发症低,是肠内营养支持的良好途径。

Objective To explore the nasointestinal feeding tube in treatment of anastomotic leakage, functional delayed gastric emptying, thoracic gastric leakage after operation of carcinoma of esophagus and gastric cardia. Methods To analyze the data of 31 postoperative patients suffering from carcinoma of esophagus and gastric cardia, through putting a nasointestinal feeding tube in duodenumor jejunum by X - ray telescreen, Results The tubes were successfully placed in 29 cases in average time of 15 minutes and without any complications, The keeping duration of the tube ranged from 9 to 78 days, with an average of 42 days. One patient died of pulmonary embolism and 30 patients were cured conservatively. Conclusion Enteral nutritional support after operation of carcinoma of esophagus and gastric cardia with a nasointestinal feeding tube in duodenurnor jejunum by X- ray telescreen is a good method, whith has. the advantage of simplicity, safety, low cost, highly successful rate and few complications.