鼻肠管在伴有胃出口梗阻的胃癌病人营养和化疗中的应用

Clinical application of nasojejunal feeding tubes in the treatment of gastric outlet obstructive patients with neoadjuvant chemotherapy

目的:探讨经内镜放置鼻肠管给予肠内营养(EN)在伴有胃出口梗阻的胃癌病人新辅助化疗中的应用及疗效。方法:对16例伴有胃出口梗阻的胃癌病人经内镜放置鼻肠管并给予EN,观察该方法的安全性和有效性。结果:16例病人均成功经内镜放置鼻肠管,平均置管时间为(10.8±3.6)min,未发生消化道穿孔和出血等严重并发症。所有病人均顺利完成新辅助化疗,并在化疗结束后接受了手术。结论:经内镜放置鼻肠管行EN,能改善伴有胃出口梗阻胃癌病人的营养状况,帮助其完成新辅助化疗。

Objective： To investigate the application and effect of enteral nutrition applied in gastric outlet obstructive patients with neoadjuvant chemotherapy by the nasojejunal feeding tubes placed endoscopically.Methods： Nasojejunal feeding tubes were placed in 16 gastric cancer patients with pyloric obstruction,followed by enteral nutrition support and neoadjuvant chemotherapy.The safety and efficiency of this procedure were recorded.Results： Tubes were successfully placed in 100% of the cases with an average time of（10.8±3.6）min.No complications of this procedure were observed.Enteral nutrition,neoadjuvant chemotherapy and surgery were smoothly performed.Conclusion： The nasojejunal feeding tubes were easy to place endoscopically.And enteral nutrition support can improve the nutritional status of gastric cancer patients with pyloric obstruction during the neoadjuvant chemotherapy.