CAJ | 학술논문

目的：探讨食管癌术后肠内营养途径的合理选择。方法回顾我院从2008年至2013年6月收住58例食管癌切除术后行肠内营养患者，其中28例食管癌患者术后经鼻放置十二指肠营养管行肠内营养，30例经空肠造瘘管行肠内营养，比较二组患者对导管的耐受情况及导管相关并发症的发生率。结果经鼻放置十二指肠营养管相对安全，无创伤，拔管时间短。而空肠造瘘管固定可靠，不易堵管，提供营养物质丰富。结论认为对食管癌术后吻合口漏发生率低的下段食管癌患者经鼻放置十二指肠营养管，而对食管吻合口漏发生率高的胸中上段食管癌采用空肠造瘘管较为安全、合理。
목적：탐토식관암술후장내영양도경적합리선택。방법회고아원종2008년지2013년6월수주58례식관암절제술후행장내영양환자，기중28례식관암환자술후경비방치십이지장영양관행장내영양，30례경공장조루관행장내영양，비교이조환자대도관적내수정황급도관상관병발증적발생솔。결과경비방치십이지장영양관상대안전，무창상，발관시간단。이공장조루관고정가고，불역도관，제공영양물질봉부。결론인위대식관암술후문합구루발생솔저적하단식관암환자경비방치십이지장영양관，이대식관문합구루발생솔고적흉중상단식관암채용공장조루관교위안전、합리。
Objective To ifnd the reasonable choice of enteral nutrition after operation of esophageal carcinoma.Methods 58 patients from 2008 to June 2013 who received resection of esophageal carcinoma as wel as postoperative enteral nutrition were enroled retrospectively. Al the study population, 28 cases received an nasal duodenal nutrition tube, while the other 30 cases received an jejunostomy tube for enteral nutrition. Catheter tolerance and the incidence of catheter related complications between the two groups were analyzed.Results The nasal duodenal nutrition tube is relatively safe with less trauma, and the extubation time is shorter. However, the jejunostomy tube is more ifxed and reliable, which is not easy to clog, thus providing abundant nutrients.Conclusion The duodenal nutrition tube through nasal cavity is recommended for carcinoma in the inferior part of the esophagus since the anastomotic leakage rate is relatively lower. On the contrary, giving that the incidence of anastomotic leakage is higher in the carcinoma of the superior part of the esophagus, it is safer and more reasonable to use the jejunostomy tube for enteral nutrition.