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目的观察采取经内镜行下小肠营养管置入法治疗胃切除术后胃瘫及吻合口狭窄的临床疗效。方法总结12例胃切除术后出现胃瘫及吻合口狭窄的病例,予以内镜下置入小肠营养管并辅以肠内营养,观察疗效。结果 12例患者一次性置管成功9例,1例首次置管失败,拒绝再次置管,2例营养管脱落后再次置管成功。首次置管成功率为75%,总置管成功率为91.67%,取得满意的预期疗效。结论内镜下行小肠营养管置入治疗胃术后胃瘫及吻合口狭窄的疗效满意。
Objective To observe the clinical efficacy of transnasal endoscopic management of small intestine feeding tube in the treatment of gastroparesis and anastomotic stricture after gastrectomy. Methods A total of 12 cases of gastroparesis and anastomotic stenosis after gastrectomy were summarized and treated with endotracheal tube and enteral nutrition under endoscopy. The curative effect was observed. Results Of the 12 patients, 9 cases were successfully treated by one-time catheterization. One patient failed the first catheterization and refused to re-catheterization. Two patients died of catheterization and re-catheterization was successful. The success rate of the first catheterization was 75%, the total success rate of catheterization was 91.67%, achieved satisfactory expected efficacy. Conclusion Endoscopic management of small intestine feeding tube is effective in treating postoperative gastroparesis and anastomotic stenosis.