Solution of difficult nasojejunal feeding tube intubation under digital subtraction angiography system
10.3969/j.issn.1002-1671.2015.06.033
- VernacularTitle:DSA 监视下鼻肠营养管置管困难解决方案
- Author:
Zhongbao TAN
;
Zhenhai DI
;
Rong ZOU
;
Xuequn MAO
;
Jian ZHANG
;
Qingqing WANG
;
Aiqin ZHANG
;
Meirong WANG
- Publication Type:Journal Article
- Keywords:
nasojejunal feeding tube;
method;
digital subtraction angiagraphy
- From:
Journal of Practical Radiology
2015;(6):1012-1013,1025
- CountryChina
- Language:Chinese
-
Abstract:
Objective To solve the difficulty of intubation of nasojejunal feeding tube under digital subtraction angiography (DSA) system when conventional methods were failed.Methods Seventy-one patients who failed to place the nasojejunal feeding tube by single guide wire under DSA conventional methods.With the methods of decreasing the stomach volume,changing the body posi-tion,and using a catheter or gastrointestinal motility,the nasojejunal feeding tube was placed into the proper position (more than 30cm far away from Treitz or gastrointestinal anastomosis).Results All the procedures were successfully accomplished.No compli-cations,such as throat damage,abdominal pain,perforation and hemorrhage of digestive tract were found.The mean duration under DSA was four minutes (2-7min).Conclusion With the help of various methods above,we can improve the success rate of intuba-tion and reduce the duration of the nasojejunal feeding tube placement,when conventional methods were failed.
