鼻肠管在伴有胃出口梗阻的胃癌病人营养和化疗中的应用

目的:探讨经内镜放置鼻肠管给予肠内营养(EN)在伴有胃出口梗阻的胃癌病人新辅助化疗中的应用及疗效。方法:对16例伴有胃出口梗阻的胃癌病人经内镜放置鼻肠管并给予EN,观察该方法的安全性和有效性。结果:16例病人均成功经内镜放置鼻肠管,平均置管时间为(10.8±3.6)min,未发生消化道穿孔和出血等严重并发症。所有病人均顺利完成新辅助化疗,并在化疗结束后接受了手术。结论:经内镜放置鼻肠管行EN,能改善伴有胃出口梗阻胃癌病人的营养状况,帮助其完成新辅助化疗。

Clinical application of nasojejunal feeding tubes in the treatment of gastric outlet obstructive patients with neoadjuvant chemotherapy

Objective: To investigate the application and effect of enteral nutrition applied in gastric outlet obstructive patients with neoadjuvant chemotherapy by the nasojejunal feeding tubes placed endoscopically.Methods: Nasojejunal feeding tubes were placed in 16 gastric cancer patients with pyloric obstruction,followed by enteral nutrition support and neoadjuvant chemotherapy.The safety and efficiency of this procedure were recorded.Results: Tubes were successfully placed in 100% of the cases with an average time of(10.8±3.6)min.No complications of this procedure were observed.Enteral nutrition,neoadjuvant chemotherapy and surgery were smoothly performed.Conclusion: The nasojejunal feeding tubes were easy to place endoscopically.And enteral nutrition support can improve the nutritional status of gastric cancer patients with pyloric obstruction during the neoadjuvant chemotherapy.