Li Ming,Xie Ting,Zou Chanjuan,et al.Application value of nasal enteral tube continuous low-pressures suction for high jejunal atresia[J].Journal of Clinical Pediatric Surgery,,():1149-1152.[doi:10.3760/cma.j.cn101785-202509013-010]
Application value of nasal enteral tube continuous low-pressures suction for high jejunal atresia
- Keywords:
- Intestinal Atresia; Surgical Procedures; Operative; Enteral Nutrition; Cannula; Nasal Enteral Tube; Treatment Outcome
- Abstract:
- Objective To explore the application value of nasal enteral tube continuous low-pressure suction (NETCLPS) for high jejunal atresia. Methods From July 2024 to June 2025,retrospective analysis was performed for the relevant clinical data of 6 preterm infants with high jejunal atresia admitted with continuous negative pressure suction using a nasojejunal tube.The following parameters of gender,gestational age,birth weight,concurrent malformations,postoperative milk opening time,duration of hospitalization,weight at discharge,length/diameter of mesiodistal atresia of small intestine and surgical approaches were recorded. Results There were 1 boy and 5 girls.There were low birth weight (n=3) and complicated by ventricular septal defect (n=1).Duodenal dilation (n=5) was found with proximal end of atresia (4-10) cm from flex ligament and a diameter of intestinal tract (2.5-4.0) cm and distal end of atresia (85-175) cm from ileocecal region and a diameter of intestinal tract (0.4-0.6) cm.The clinical types were Ⅲ.a (n=3),Ⅲ.b (n=2) and Ⅳ (n=1).Laparoscopic exploration and jejunal anastomosis were performed along with mesenteroplasty (Ⅲ.b,n=2) and 3-part intestinal anastomosis (Ⅳ.n=1).A nasojejunal tube was placed to proximal anastomosis of anastomosis.Enteral nutrition started at Day (7-11) day post-operation.Time to return to full enteral nutrition resumed at Day (35-85) and weight gain was (950-2100) kg.All of them were cured and discharged from without complications. Conclusions Nasal enteral tube continuous low-pressure suction can achieve excellent outcomes without related complications.Both safe and efficacious,it is worthy of wider clinical promotion.
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Memo
收稿日期:2025-9-6。
基金项目:湖南省卫生健康委科研计划(B202306028241)
通讯作者:周崇高,Email:zhouchonggao@sina.com