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学科主题临床医学
Transnasal esophagogastroduodenoscopy for placement of nasoenteric feeding tubes in patients with severe upper gastrointestinal diseases
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
2012-06-01
DOI10.1111/j.1751-2980.2012.00594.x
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
引用统计
被引频次:5[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/53662
专题北京大学第三临床医学院_消化科
作者单位Peking Univ, Dept Gastroenterol, Hosp 3, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
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.
APA Zhang, Li,Huang, Yong Hui,Yao, Wei,Chang, Hong,Guo, Chang Ji,&Lin, San Ren.(2012).Transnasal esophagogastroduodenoscopy for placement of nasoenteric feeding tubes in patients with severe upper gastrointestinal diseases.JOURNAL OF DIGESTIVE DISEASES,13(6),310-315.
MLA Zhang, Li,et al."Transnasal esophagogastroduodenoscopy for placement of nasoenteric feeding tubes in patients with severe upper gastrointestinal diseases".JOURNAL OF DIGESTIVE DISEASES 13.6(2012):310-315.
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