内镜下放置幽门后鼻肠管的成功率低于预期。

Q1 Medicine
Cristina Chiodi, Shesh Rai, Gerald Dryden
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引用次数: 0

摘要

综述目的:肠内营养在维持不能满足其热量需求的住院患者的营养状态和支持康复方面起着关键作用。肠内营养的好处包括保持肠道完整性、降低感染风险和支持免疫功能,这对危重患者和术后患者至关重要。鼻肠饲管通常是有效提供肠内营养的重要工具,但其最佳放置仍然是临床考虑的重要课题。近期发现:鼻肠饲管可因放置相关并发症如移位、错位和管相关不适而受损。我们对相关文献的回顾是通过对我们最近数据的回顾来补充的。我们自己的临床经验表明,内镜下放置鼻肠饲管在换丝过程中失败。摘要:本报告回顾了肠内营养对提高患者预后的重要性,记录了我们对内镜下放置鼻肠饲管的回顾性研究结果,并重点讨论了鼻肠饲管放置技术的挑战和未来进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Success Rates for Endoscopic Placement of Post-Pyloric Nasoenteric Tube Underperform Expectations.

Purpose of review: Enteral nutrition plays a pivotal role in maintaining nutritional status and supporting recovery in hospitalized patients who are unable to meet their caloric requirements. The benefits of enteral nutrition include preserving gut integrity, reducing infection risks, and supporting immune function, which are vital in critically ill and post-operative patients. Nasoenteric feeding tubes often serve as important tools to deliver enteral nutrition efficiently, yet their optimal placement remains a subject of significant clinical consideration.

Recent findings: Nasoenteric feeding tubes can be compromised by placement-related complications such as displacement, malpositioning, and tube-related discomfort. Our review of the relevant literature is complemented by review of our recent data. Our own clinical experience suggests that endoscopic placement of naso-enteric feeding tubes fails during the wire exchange process.

Summary: This report reviews the importance of enteral nutrition for enhancing patient outcomes, documents findings from our retrospective study on endoscopically placed nasoenteric feeding tubes and focuses on the challenges and future advancements in nasoenteric feeding tube placement techniques.

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来源期刊
Current Gastroenterology Reports
Current Gastroenterology Reports Medicine-Gastroenterology
CiteScore
7.80
自引率
0.00%
发文量
19
期刊介绍: As the field of gastroenterology and hepatology rapidly evolves, the wealth of published literature can be overwhelming. The aim of the journal is to help readers stay abreast of such advances by offering authoritative, systematic reviews by leading experts. We accomplish this aim by appointing Section Editors who invite international experts to contribute review articles that highlight recent developments and important papers published in the past year. Major topics in gastroenterology are covered, including pediatric gastroenterology, neuromuscular disorders, infections, nutrition, and inflammatory bowel disease. These reviews provide clear, insightful summaries of expert perspectives relevant to clinical practice. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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