摘要
目的:报道直接法经皮内镜下空肠造口(DPEJ)的临床应用经验.方法:3例胃癌术后晚期癌性肠梗阻患者,因曾行全胃或胃次全切除术不能进行经皮内镜下胃造口(PEG),而选择DPEJ进行姑息性肠道减压引流.DPEJ操作方法采用类似于PEG的拖出法技术.结果:3例DPEJ患者均操作成功,未发生严重并发症,术后有效地减压引流肠液500～1000ml/d,缓解了肠梗阻症状,明显地改善了患者的生活质量.结论:DPEJ操作有一定的难度,但经仔细和正确的围手术期处理,仍不失为一种安全、有效的姑息性肠道减压引流的方法.
Objective： The purpose of this study was to report the clinical experience of direct percutaneous endoscopic jejunostomy （DPEJ） applied in advanced carcinosis intestinal obstruction patients for decompression and drainage. Methods： Three gastric cancer patients suffered from advanced carcinosis intestinal obstruction after total or subtotal gastrectomy, and received DPEJ for palliative intestinal decompression and drainage. DPEJ were performed by classical pull technique as PEG. Results： DPEJ were all done successfully without serious complication, and can effectively drain the intestinal fluid about 500 - 1 000 ml/d. The life quality of advanced cancer patients was improved by DPEJ for symptom palliation of intestinal obstruction. Conclusion ： DPEJ is more difficult than PEG in technique, but also can be well done by careful and correct perioperative management, and is a safe and effective method for palliative intestinal decompression and drainage.
出处
《医学研究生学报》
CAS
2005年第9期797-799,i0010,共4页
Journal of Medical Postgraduates
基金
南京军区南京总医院科研基金资助项目(批准号:2005052)
关键词
直接法经皮内镜下空肠造口
癌性肠梗阻
肠道减压
Direct percutaneous endoscopic jejunostomy
Malignant intestinal obstruction
Intestinal drainage
