家庭肠内营养支持在高位肠瘘患者诊疗中的应用经验
Experience of home enteral nutritional support in the diagnosis and treatment of patients with high intestinal fistulae
李思佳 1唐炳钧 2徐田磊 1庄卓男 1张骞 1王峰 1李元新1
作者信息
- 1. 清华大学附属北京清华长庚医院胃肠外科,北京 102218
- 2. 清华大学附属北京清华长庚医院肝胆胰中心,北京 102218
- 折叠
摘要
目的 探讨家庭肠内营养支持(home enteral nutrition,HEN)对高位肠瘘患者治疗策略的影响.方法 回顾性分析北京清华长庚医院2021年1月至2023年9月诊治的高位肠瘘且需要HEN的36例患者的临床及随访资料.结果 36例患者中,2例留置鼻胃管,12例留置鼻空肠营养管,22例行经皮空肠造瘘术.患者HEN相关并发症发生率为13.9％,无严重导管并发症.HEN期间,肠瘘愈合19例(52.8％),返院行肠瘘下一阶段治疗11例(30.6％),需返院营养支持1例(2.8％),肠瘘加重终止HEN 2例(5.6％).结论 在专业团队管理下,高位肠瘘患者通过鼻胃/空肠营养管或空肠造瘘管进行HEN安全可行.
Abstract
Objective To explore the impact of home enteral nutrition(HEN)on the treatment strategy of patients with high position intestinal fistula.Methods The clinical and follow-up data of 36 patients with high position intestinal fistula requiring HEN treated in Beijing Tsinghua Changgung Hospital from Jan 2021 to Sep 2023 was retrospectively analyzed.Results Among the 36 cases,2 had indwelling nasogastric tubes,12 had indwelling nasojejunal nutritional tubes,and 22 had percutaneous jejunostomy.The incidence of HEN-related complications in patients was 13.9％,and there were no serious catheter complications.During HEN,high position intestinal fistula healed in 19 cases(52.8％),returned to the hospital for the next stage of intestinal fistula treatment in 11 cases(30.6％),needed to return to the hospital for nutritional support in 1 case(2.8％),and intestinal fistula aggravated to terminate HEN in 2 cases(5.6％).Conclusion Under the management of professional team,HEN via nasogastric/jejunal nutritional tube or percutaneous jejunostomy is safe and feasible in patients with high intestinal fistula.
关键词
肠瘘/肠道营养Key words
Intestinal fistula/Enteral nutrition引用本文复制引用
出版年
2024
NETL
NSTL
万方数据