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学科主题: 临床医学
题名:
Transnasal esophagogastroduodenoscopy for placement of nasoenteric feeding tubes in patients with severe upper gastrointestinal diseases
作者: Zhang, Li; Huang, Yong Hui; Yao, Wei; Chang, Hong; Guo, Chang Ji; Lin, San Ren
关键词: nasoenteric feeding tube ; post-pyloric feeding ; small-caliber esophagogastroduodenoscope ; transnasal endoscopy
刊名: JOURNAL OF DIGESTIVE DISEASES
发表日期: 2012-06-01
DOI: 10.1111/j.1751-2980.2012.00594.x
卷: 13, 期:6, 页:310-315
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Gastroenterology & Hepatology
研究领域[WOS]: Gastroenterology & Hepatology
关键词[WOS]: CRITICALLY-ILL PATIENTS ; ENDOSCOPIC PLACEMENT ; PARENTERAL-NUTRITION ; ENTERAL NUTRITION ; ACUTE-PANCREATITIS ; RANDOMIZED-TRIAL ; METAANALYSIS ; OUTCOMES
英文摘要:

OBJECTIVE: To evaluate the feasibility and efficacy of small-caliber transnasal esophagogastroduodenoscopy for the placement of nasoenteric feeding tubes (NET) in patients with severe upper gastrointestinal (GI) diseases. METHODS: Between January 2007 and March 2010, 51 patients underwent transnasal endoscopy for the placement of NET in Peking University Third Hospital. Indications for NET included esophageal stricture or gastric outlet obstruction because of corrosive esophagitis or gastritis, partial obstruction due to malignancy, stenosis in stoma or efferent loop, gastroparesis, metallic stent in upper GI tract, tracheoesophageal fistula, severe acute pancreatitis, anorexia nervosa and intensive care patients. The tubes were endoscopically placed using the guidewire technique. The position of the tube was confirmed by the immediate second endoscopy or abdominal X-ray. If the initiate placement was not correct, an adjustment or a second placement was conducted immediately. RESULTS: Initial post-pyloric placement of NET was achieved in 43 of 51 patients (84.3%), but the total success rate reached 98.0% (50/51) after the second placement. The time required for the procedure ranged from 10 to 35 min, with a median time of 20.4 min. Epistaxis occurred in 2 patients. There were no complications of hemorrhage, perforation or aspiration. CONCLUSION: The transnasal endoscopic placement of NET was feasible in patients with upper GI diseases, especially in those with changed anatomy.

语种: 英语
WOS记录号: WOS:000304442300004
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/53662
Appears in Collections:北京大学第三临床医学院_消化科_期刊论文

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作者单位: Peking Univ, Dept Gastroenterol, Hosp 3, Beijing 100191, Peoples R China

Recommended Citation:
Zhang, Li,Huang, Yong Hui,Yao, Wei,et al. Transnasal esophagogastroduodenoscopy for placement of nasoenteric feeding tubes in patients with severe upper gastrointestinal diseases[J]. JOURNAL OF DIGESTIVE DISEASES,2012,13(6):310-315.
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