Clinically, it is simply called a gastric tube. The gastric tube is relatively short and is relatively simple to insert. The passage from the nose to the esophagus to the stomach is relatively smooth and not tortuous, so it can usually be blindly inserted by a nurse.
Other catheters are more complicated. Nasoduodenal tubes, nasojejunal tubes, and jejunostomy tubes all need to be inserted into the intestines. The human intestines are tortuous and winding, so blind insertion is very difficult. Usually in surgery
It is reserved by the surgeon during the operation, or can be intubated under visual conditions through a gastrointestinal endoscope.
For patients like these after gastrointestinal resection, leaving this kind of tube during the operation can be said to be based on the surgeon's routine risk considerations. They should take into account the possibility of anastomotic leak in the postoperative patient, which is called just in case.
Patients with anastomotic fistula cannot eat normally, and the food they eat will overflow through the fistula and cause infection in the body. They must fast at the front of the fistula. With the existence of this nutrition tube that reaches below the fistula, you can continue
Providing enteral nutritional support to the patient is called a life tube for this patient. Similarly, this patient developed an anastomotic fistula after surgery, and the fistula failed to grow well, resulting in the nasojejunal tube never being removed. At the same time, the nasojejunal tube must be removed first.
No need for jejunostomy.
I mentioned anastomotic fistula before, and now I am talking about anastomotic fistula, which is closely related to surgery, yes, so I specifically added the word "anastomotic" before fistula. After all, fistula may not only be caused by surgery.
, more common fistulas caused by the patient's own disease and trauma, such as anal fistulas, intestinal fistulas, etc. that have nothing to do with surgical operations cannot be called anastomotic fistulas.
Anastomosis, as the name suggests, is the joint point where the healthy tissues and organs at the front and rear ends are reconnected after surgical removal of the diseased parts of the organs. The surgical method is called anastomosis, and this joint point is called an anastomosis.
It is necessary to accurately understand these terms to understand where anastomotic fistulas are usually hidden. To treat anastomotic fistulas, doctors must first find the fistula. The problem is that the fistula is not easy to find in the first place. Logically speaking, anastomosis
Oral fistulas are related to surgery. The surgeon knows best where the surgical anastomosis is, and he can find the fistula there. The surgeon can do this, but it requires a new surgical operation, either laparotomy or laparoscopy, which is more invasive.
The patient may not be able to tolerate lying on the operating table for such a surgical operation for a long time again. This patient happens to be in poor physical condition. The surgeon needs to think twice about the choice of operating on him again, so the first choice is not
Surgical methods are used to solve fistulas and prevent patients from being unable to get off the operating table.
Without surgery, the fistula can be found in the patient's digestive tract using a digestive endoscope. Unlike surgery, which can open the intestines, a digestive endoscope can only find the fistula with a limited field of view and limited space in the digestive tract.
Auxiliary instruments are used to find and plug fistulas. Therefore, a master of internal medicine may be reflected in how to use a digestive endoscope.
I have long heard from Senior Sister Jiang that Senior Brother Yu is a technical expert in digestive endoscopes. Xie Wanying and two classmates continued to listen and study the conversation between Senior Brother Yu and Dr. Shao.
"Have you tried the titanium clamp, but it doesn't work?" Yu Xuexian asked.
"Yes, yes." Dr. Shao nodded.
"Then it must be that the right target is not clamped." After hearing this, Yu Xuexian pointed out the problem to the point, that is, the large fistula was not found.