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Old 05-23-2011, 09:36 PM   #1
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Percutaneous endoscopic gastrostomy United jejunum ostomy surgery in general diseases (report of 12 cases)
Blood, peritonitis, abdominal infection and additional complications may be; (3) requires a special fistula. 3.3.1 Prevention of gastrointestinal complications and 3.3 tells infrequent, intraoperative blood and gastric mucosal vascular lance injury is relative extra to go merely below endoscopy, fistula, Department of delayed bleeding extend firm , the suppression of the tolerate with mucosal death nailed record hemorrhage,tory burch flats, endoscopic detection and in vitro pluck knot, applicable traction control is to prevent pressure necrosis of the tightness of the direct method. 3.3.2 peritonitis is relatively rare, and more with reiterated lance the tolerate, fistula to the tolerate no fixed too lax with the abdominal walls full of glue, respectively, and main the techniques of puncture and fistulization of the key is to prevent this complication, intraoperative should be closely scrutinized later conventional abdominal signs 12 ~ 24h, to find feasible signs of peritonitis, if only, fasting,mulberry bags, gastrointestinal decompression, and other curable. 3.3.3 relative complications around the stoma (1) infection and inflammation formation: bacteria get down to the upper gastrointestinal tract, the peel approximately the fistula too fixed aboard also tight or too loose, neat the mouth ahead surgery, and prophylactic antibiotics, aseptic surgery, postoperative attention and stoma so well is efficacious amounts to prevent such complications, regional incision and drainage when needful; (2), stoma bleeding: bleeding wounds, mostly regional, moderate fistula and other tension be able to,0 stop bleeding, spirited bleeding can be seam hemostasis; (3) stoma granulation tissue: the fistula itself and the relevant local stimulation of digestive beverage, if it were not for, can be partially slit and paste the saline gauze cover. 3.3.4 fistula slide the biggest hazard is a solemn leakage of gastric stoma peritonitis,tory burch, merely whether the casualty of fistula is closely related to slippage of period, generally occurs within 1 week later surgery to open surgery constantly need mend, occurred in more than 1 week after surgery, especially after 2 weeks, you can reposition the fistula cure. Intraoperative properly fixed, and concern ought be taken after the details, to prevent such complications. 3.4PEG/PEJ fistula use and related issues 3.4.1 fistula prologue time (1) PEG is completed, immediately drain through the gastrointestinal decompression, but out of security attentions gastric stoma, tube feeding is still not immediately begin eating normally be made by l2 ~ 24h after surgery, such like,0 from the glucose and saline infusion trial began, the gradual conversion to the fluid diet; (2) likened with PEG alone, like,0 PEJ tube pate side along the pylorus and Treitz ligament and alive,0 in the upper small intestine from the stomach far away from the stoma, the edible is conveyed instantly into the small intestine, large 『1 This theory,UGG stivali, at the peak of the bowel feature permits, PEJ is completed along its pipeline The tube feeding and other dietary and bile reinfusion can start immediately after eating without memorandum the risk of dripping abdominal crater. 3.4.2 have to forever nourish the PEG / J tube patency, therefore, need to clean before and after every,0 injection lumen food and proper concentration to main their physical and chemical properties of food. 3.4.3PEG / J tube replacement without regular replacement of PEG / J tubes, unless the fistula accidental detriment, broken, serious deterioration, blockage irreparable failure or is not longer the necessary handling, or long-term survival with a pipe, there is with a tube up to several years of coverage; out of the stomach walls sinus stoma leakage concerns, in theory, the initial replacement of PEG tube must be fashioned exactly sinus fistula (by fewest 2 weeks), so when the sinus can be no peril of leakage by anyone period. 3.4.4PEG / J tube removal when no continuing lien PEG / J fistula when necessary, for example,0 oral intake was restored to regular,0, eliminating the external drainage of bile, can clear PEG / J fistula, stoma obtainable Vaseline gauze packaging or suture in gastrointestinal flat below the premise of the stoma closed within a few days more. In short, as a minimally invasive,hermes new bag, secure and effective stomach (intestinal) built-in tube method, PEG and PEJ technology, including general surgery for the treatment of numerous diseases, including diseases,mbt shuguli shoes, should be widely applied.
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