外科理论与实践2024，Vol.29Issue(6)：523-528,6.DOI:10.16139/j.1007-9610.2024.06.11
经鼻肠梗阻导管联合手术治疗恶性肠梗阻(附1例报告)
Use of transnasal ileus catheter combined with surgery in malignant bowel obstruction:one case report
摘要
Abstract
Malignant bowel obstruction(MBO)is a common complication of advanced ventral-pelvic tumors,with poor overall prognosis and seriously affecting the quality of life of these patients.Numerous factors are involved in the pathogenesis of MBO and there is no standard treatment.Most MBO patients were not suitable for surgery.The use of chemotherapy and total parenteral nutrition(TPN)is also controversial.The best treatment is still supportive treatment,including drug treatment and gastrointestinal decompression.Here we reported a case diagnosed as MBO.Transnasal ileus cathete was inserted immediately when hospitalizated after diagnosed 5 days.The symptom was partial relieved after conservative treatment.The abdomen CT scan suggested the sign of closed-loop obstruction.Then,an exploratory laparotomy was performed and found proximal small intestine obviously decompressed with transnasal ileus catheter.However,the tumor caused the closed-loop obstruction of terminal ileum and colon,then the transverse colostomy and terminal ileostomy were performed.After treatment,the patient recovered and was discharged from the hospital.In conclusion,the use of transnasal ileus catheter combined with surgery in MBO,could improve the accuracy of condition judgment,increase the feasibility and safety of surgery,and achieved the goals of treatment expected,and might be a potential treatment regimen for MBO.关键词
恶性肠梗阻/肠梗阻导管/手术/保守治疗Key words
Malignant bowel obstruction/Transnasal ileus catheter/Surgery/Conservative treatment分类
医药卫生引用本文复制引用
金益峰,陈诗雨,崔荣,夏玉峰,周勇..经鼻肠梗阻导管联合手术治疗恶性肠梗阻(附1例报告)[J].外科理论与实践,2024,29(6):523-528,6.基金项目
上海市嘉定区科学技术委员会课题(JDKW-2019-W22) （JDKW-2019-W22）
