远程输液胃肠溶解:一种有效的技术来管理术后的肠胃输出
Navin Kumar1, Summi Karn1, Aakansha Giri Goswami1
1All India Institute of Medical Sciences, Rishikesh, India.
Journal of visceral surgery
|November 30, 2024
概括
远程输液胃肠溶解 (DISE) 有效地管理高输出肠口,恢复营养和液体平衡. 这种技术是可行的,在家中使用最小的资源,改善患者的结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术营养是指手术营养.
- 医疗器械 医疗器械
背景情况:
- 高输出肠口术会导致营养不良和流体流失,传统方法难以管理.
- 肠胃营养通常是必要的,但由于成本和资源的可用性而受到限制.
- 远程输液胃肠溶解 (DISE) 在资源有限的环境中提供了营养恢复的替代方案.
研究的目的:
- 为了评估DISE在治疗术后肠静脉瘤的有效性.输出.
- 评估在患者护理中实施DISE的可行性.
主要方法:
- 连续的肠静脉切除术患者在一年内被录取.
- DISE涉及通过距离四肢的福利导管重新注入过的胃排泄物.
- 患者和护理人员接受了监督家庭管理的培训.
主要成果:
- 25名患者中有22名在家中成功管理了DISE; 3人过期.
- 平均胃输出量从每天820毫升降至每天478毫升.
- 身体质量指数 (BMI) 的中位数显著下降,从19到17.8公斤/米2.
结论:
- DISE是一种可行且有效的技术,用于高输出肠管切除.
- 该程序很容易被教导,可以在家中使用最小的资源进行.
- DISE有助于营养恢复和液体平衡管理.
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