1.Solution of difficult nasojejunal feeding tube intubation under digital subtraction angiography system
Zhongbao TAN ; Zhenhai DI ; Rong ZOU ; Xuequn MAO ; Jian ZHANG ; Qingqing WANG ; Aiqin ZHANG ; Meirong WANG
Journal of Practical Radiology 2015;(6):1012-1013,1025
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.
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