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.
| Published in | International Journal of Gastroenterology (Volume 1, Issue 1) |
| DOI | 10.11648/j.ijg.20170101.14 |
| Page(s) | 1-4 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Enteral Feeding, Enteral Feeding Tube, Anastomotic Inflammation, Endoscopic Therapy
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APA Style
Hak-Chol Ju, Gyong-Hui Ri, Gwang-Il Kim, Un-Gyong Ri. (2017). Study on Endoscopic Insertion of the Enteral Feeding Tube for Patients with Anastomotic Impassability After Gastrectomy. International Journal of Gastroenterology, 1(1), 1-4. https://doi.org/10.11648/j.ijg.20170101.14
ACS Style
Hak-Chol Ju; Gyong-Hui Ri; Gwang-Il Kim; Un-Gyong Ri. Study on Endoscopic Insertion of the Enteral Feeding Tube for Patients with Anastomotic Impassability After Gastrectomy. Int. J. Gastroenterol. 2017, 1(1), 1-4. doi: 10.11648/j.ijg.20170101.14
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Download@article{10.11648/j.ijg.20170101.14,
author = {Hak-Chol Ju and Gyong-Hui Ri and Gwang-Il Kim and Un-Gyong Ri},
title = {Study on Endoscopic Insertion of the Enteral Feeding Tube for Patients with Anastomotic Impassability After Gastrectomy},
journal = {International Journal of Gastroenterology},
volume = {1},
number = {1},
pages = {1-4},
doi = {10.11648/j.ijg.20170101.14},
url = {https://doi.org/10.11648/j.ijg.20170101.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijg.20170101.14},
abstract = {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.},
year = {2017}
}
TY - JOUR T1 - Study on Endoscopic Insertion of the Enteral Feeding Tube for Patients with Anastomotic Impassability After Gastrectomy AU - Hak-Chol Ju AU - Gyong-Hui Ri AU - Gwang-Il Kim AU - Un-Gyong Ri Y1 - 2017/01/14 PY - 2017 N1 - https://doi.org/10.11648/j.ijg.20170101.14 DO - 10.11648/j.ijg.20170101.14 T2 - International Journal of Gastroenterology JF - International Journal of Gastroenterology JO - International Journal of Gastroenterology SP - 1 EP - 4 PB - Science Publishing Group SN - 2640-169X UR - https://doi.org/10.11648/j.ijg.20170101.14 AB - 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. VL - 1 IS - 1 ER -
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