三腔喂养管在复杂性上消化道内镜黏膜下剥离术后的应用分析

Analysis of Freka Trelumina application in the complex upper gastrointestinal endoscopic submucosal dissection

目的探讨复杂性上消化道内镜黏膜下剥离术后行三腔喂养管置入的作用。方法23例入选的上消化道内镜黏膜下剥离术患者术后常规置入三腔喂养管行胃肠减压,并在术后6 h行肠内营养。观察置管耐受性及腹部体征,并记录内镜黏膜下剥离术后的并发症和处置方法。结果所有患者均能够耐受三腔喂养管的置入及治疗,且无腹部不适反应;4例内镜黏膜下剥离术后出现出血,其中1例行内镜下紧急止血,其余3例保守治疗成功;2例出现穿孔均经内科保守治疗愈合。结论复杂性上消化道内镜黏膜下剥离术后行三腔喂养管应用有早期发现术后出血,治疗术后穿孔及加速患者康复的优点,并具有良好的耐受性。

Objective To assess the effect of Freka Trelumina application in the complex upper gastrointestinal endoscopic submucosal dissection（ESD）.Methods Twenty-three patients with upper gastrointestinal tract diseases were treated with ESD.Freka Trelumina was routinely placed and gastrointestinal decompression began after ESD.Enteral nutrition was used after 6 hours.Tolerance of Freka Trelumina placement,abdomen sign,complications of ESD and the therapy methods were recorded and analyzed.Results All of the patients could tolerate the placement of Freka Tzelumina and had no abdominal discomfort.Four cases had hemorrhage after ESD,one of them was controlled under the gastrscope,the other 3 patients were conservative treatment.Perforation occurred in 2 cases during the dissection of the lesion,both were conservative treatment.Conclusion Besides the early initiation of intestinal nutrition therapy,Freka Trelumina could be used for the early diagnosis of gastric bleeding and treatment of perforation in the complex upper gastrointestinal endoscopic submucosal dissection.The tolerance is good.