一种简单而廉价的方法来移除或更换胃口管
1Liver Unit, University of Southern California School of Medicine, Rancho Los Amigos Medical Center, Downey 90242.
JAMA
|March 20, 1991
概括
切割胃口管用于肠道排泄对于大多数患者来说是安全和经济有效的. 这种方法避免了内镜去除,在前性研究中观察到的并发症最小.
科学领域:
- 胃肠病学 胃肠病学
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 穿皮内镜胃口管 (PEG) 是常见的肠道养.
- 传统的PEG管切除可能是复杂的,需要内镜干预.
研究的目的:
- 为了前性地评估PEG管去除的简化方法的安全性和有效性.
- 为了评估切割外部管道后,内部PEG管组件的肠道排泄.
主要方法:
- 一项前性研究,涉及64名接受PEG管切除的患者.
- 患者的管道被切断,允许内部部件通过肠道.
- 腹部放射图被用来跟踪患者的一个子集的成分消除.
主要成果:
- 在X光照的84%的患者中,内部PEG成分的完整肠道排泄发生.
- 在14%的患者的结肠中发现了内部成分.
- 只有一个患者 (1.5%) 经历了需要内镜切除的并发症.
结论:
- 对大多数患者来说,简单的切割PEG管是一种安全,廉价和有效的去除方法.
- 这种技术可以避免需要进行内镜切除,从而降低医疗费用和患者负担.
- 这种方法耐受性很好,并发症率低,成分的肠道通道成功.
相关概念视频
Tracheostomy: Procedure and Tubes
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy Care II: Procedure
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
Endotracheal Tube Extubation
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
Enteral Nutrition I: Orogastric and Nasogastric Feeding
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...


