Study on Endoscopic Insertion of the Enteral Feeding Tube for Patients with Anastomotic Impassability After Gastrectomy
International Journal of Gastroenterology
Volume 1, Issue 1, December 2017, Pages: 1-4
Received: Dec. 1, 2016;
Accepted: Dec. 17, 2016;
Published: Jan. 14, 2017
Views 2999 Downloads 120
Hak-Chol Ju, Pyongyang Medical College, Kim Il Sung University, Pyongyang, Democratic People’s Republic of Korea
Gyong-Hui Ri, Pyongyang Medical College, Kim Il Sung University, Pyongyang, Democratic People’s Republic of Korea
Gwang-Il Kim, Pyongyang Medical College, Kim Il Sung University, Pyongyang, Democratic People’s Republic of Korea
Un-Gyong Ri, Pyongyang Medical College, Kim Il Sung University, Pyongyang, Democratic People’s Republic of Korea
Follow on us
We have investigated about the enteral feeding tube for anastomotic impassability caused by anastomotic inflammation, ulcer, failure after gastrectomy. Subjects: 67 patients who needed enteral feeding because of anastomotic impassability among 1865 patients after gastrectomy from gastric and duodenal ulcer, gastric carcinoma at Pyongyang Medical College Hospital of Kim Il Sung University and other hospitals from February 2007 to August 2015. Method: The aim is to place the enteral feeding tube into the jejunum. At first we inserted the upper gastrointestinal endoscope into the jejunum beyond the anastomotic site and pulled out the it after inserting the guide wire into jejunum through the endoscope. Then we inserted the enteral feeding tube into the jejunum following the guidewire and pulled out it either. Finally we confirmed it by radiography. Results: 71 insertions were applied for 67 patients, among them the number of successes was 67 (94.4%), and required time was 14.4±3.8min, the length of the guidewire inserted into the jejunum was 23.1±2.8cm. The gastric juice output of the patients with anastomotic inflammation and ulcer was 1218±181mL/d before insertion of the tube, but 0 mL/d after insertion. And it was 1218±181mL/d before insertion in anastomotic failure, and it decreased by 5.8±3.0mL/d on the 7th day after insertion. 2 patients (3.0%) underwent reoperation. Conclusion: This procedure is very high successful and takes a short time, can prevent the pooling of intragastric juice and reoperation.
Enteral Feeding, Enteral Feeding Tube, Anastomotic Inflammation, Endoscopic Therapy
To cite this article
Study on Endoscopic Insertion of the Enteral Feeding Tube for Patients with Anastomotic Impassability After Gastrectomy, International Journal of Gastroenterology.
Vol. 1, No. 1,
2017, pp. 1-4.
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Nelson R. et al.; Prophylactic nasogastric decompression after abdominal surgery. Cochrane-Database-Syst-Rev, 2007, 3, CD004929.
Sasako mitsuru.: Management of complication after gastrectomy with extended lymphadenectomy. Surgical oncology, 9 (1), 31-34, 2000.
Coral E. et al.; The SAGES manual fundamentals of laparoscopy thoracoscopy and GI endoscopy. Springer, 338-339, 2005.
Kriwanek S. et al.; Treatment of gastro-jejunal leakage and fistulization after gastric bypass with coated self-expanding stents. Obes-Surg, 16 (12), 1669-1674, 2006.
Tanaka T. et al.; Newly developed biodegradable stents for benign gastrointestinal tract stenoses: a preliminary clinical trial. Digestion, 74 (3-4), 199-205, 2006.
Scott-DW.; Evaluation of a pump in enteral tube feeding in terms of patient and staff acceptance. Hum-Nutr-Appl-Nutr. 1985 Dec; 39.
Tamazashvili-TSh et al.; Enteral tube feeding after planned operations on organs of the abdominal cavity. Vestn-Khir. 1985 Aug; 135 (8): 29.
Günther Zick et al.; A new technique for bedside placement of enteral feeding tubes: A prospective cohort study. Critical Care 2011, 15: R8.
Atsunori Hashimoto et al.; A secure “double-check” technique of bedside post pyloric feeding tube placement using transnasal endoscopy. J. Clin. Biochem. Nutr., November, vol. 51, no. 3, 213-215, 2012.
Neumann DA, DeLegge MH.; Gastric versus small-bowel tube feeding in the intensive care unit: a prospective comparison of efficacy. Crit Care Med. 2002; 30: 1436-8.
Powers J, Chance R, Bortenschlanger L, et al.; Bedside placement of small bowel feeding tubes in the intensive care unit. Crit Care Nurse. 2003; 23: 16-24.
Zaloga GP, Roberts PR.; Bedside placement of enteral feeding tubes in the intensive care unit. Crit Care Med. 1998: 26: 987-8.
Lenart S, Polissar NL.; Comparison of 2 methods for postpyloric placement of enteral feeding tubes. Am J Crit Care. 2003: 12: 357-60.
Slagt C, Innes R, Bihari D, et al.; A novel method for insertion of post-pyloric feeding tubes at the bedside without endoscopic or fluoroscopic assistance: a prospective study. Intensive Care Med. 2004: 30: 103-7.
Keisuke Okutani, Hajime Hayami, et al.; A simple technique for bedside insertion of transpyloric enteral feeding tubes; without special devices or drugs. J Jpn Soc Intensive Care Med. 2007: 14: 177~185.