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頁籤選單縮合
題 名 | Nasoenteral Feeding in Gastric Outlet Obstruction Patients with a Modified Argyle Salem Sump Tube=改良之沙蘭珊蒲式管--對胃幽門阻塞病患之鼻腸管餵食 |
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作 者 | 張維國; 黃文豪; 趙有誠; 唐鴻舜; 許重得; | 書刊名 | 醫學研究 |
卷 期 | 17:3 1996.11[民85.11] |
頁 次 | 頁160-165 |
分類號 | 415.5 |
關鍵詞 | 腸管餵食; 胃幽門阻塞; Enteral feeding; Gastric outlet obstruction; |
語 文 | 英文(English) |
英文摘要 | Enteral nutrition is preferred over parentreal nutrition because of its lower cost, fewer complications, and effectively preservation of gut structure and function. Successful enteral nutrition requires post-obstructive tube feeding with concomitant gastric decompression in these patients. Endoscopic assisted feeding tube placement was attempted in four cases. The underlying conditions of gastric outlet obstruction were adenocarcinoma of the stomach (2) and chronic duodenal ulcer (2). The feeding tube was used for a mean duration of 17 days (range 7-24). The tube feeding was discontinued for a variety of reasons in these patients. One patient with adenocarcinoma of stomach underwent tube replacement due to the tube obstruction 22 days later. The other patient with adenocarcinoma of the stomach had surgery after successful nutritional repletion. The tube placement failed in one duodenal ulcer patient because the endoscope could not pass through the obstructive lesion. In another patient with chronic duodenal ulcer tube feeding was discontinued after symptom improvement. This procedure required less than 20 minutes and caused no complications. In conclusion, feeding tube placement by endoscope is safe, simple, and easy to perform. Nasoenteral feeding with simultaneous gastric decompression should be considered in gastric outlet obstruction patients. |
本系統中英文摘要資訊取自各篇刊載內容。