Abstract:
PURPOSE:To evaluate the feasibility and effectiveness of feeding tube insertion and enteral feeding for the treatment of postoperative gastrointestinal anastomotic obstruction and leakage. MATERIALS AND METHODS:From June 1999 to June 2002, thirty-four cases of postoperative gastrointestinal anastomotic obstruction and leakage after surgery for gastric carcinoma were treated by insertion of a feeding tube under fluoroscopic guidance. Twenty-one patients were male and 13 were female. The patients' ages ranged from 39 to 74 years (mean age: 61 years). All the patients experienced vomiting, and 15 patients had anastomotic site or duodenal stump leakage. We evaluated the feasibility of feeding tube insertion for enteral feeding to improve the obstruction and facilitate leakage site closure, and the patients' nutritional benefit was also evaluated by checking the serum albumin level between pre- and post-enteral feeding via the feeding tube. RESULTS:Thirty-two patients (94%) were successfully managed by feeding tube insertion, but the remaining two were not managed, and this was due to severe angulations at the anastomotic site. The procedure times for feeding tube insertion ranged from 15 to 60 minutes (mean time: 45 minutes). Twenty-eight patients experienced symptomatic relief of gastrointestinal obstruction, and they were able to resume a normal regular diet after feeding tube removal. Three patients underwent stent insertion due to recurrent symptoms, and one patient underwent jejunostomy feeding due to the presence of a persistent leakage site. Eleven patients achieved leakage site closure after enteral feeding via a feeding tube. The serum albumin level was significant, increased from pre-enteral feeding (2.65 +/- 0.37 g/dL) to the post-enteral feeding (3.64 +/- 0.58 g/dL) via the feeding tube (p < 0.001). The duration of follow-up ranged from one to 53 months (mean: 23 months). CONCLUSION:The insertion of a feeding tube for enteral feeding under fluoroscopic guidance is safe, and it provides effective relief from gastrointestinal anastomotic site obstruction and leakage after gastric surgery. Moreover, our findings indicate that feeding tube insertion for enteral feeding may be used as the primary procedure to treat postoperative anastomotic obstruction and leakage.
journal_name
Cardiovasc Intervent Radioljournal_title
Cardiovascular and interventional radiologyauthors
Han YM,Kim CY,Yang DH,Kwak HS,Jin GYdoi
10.1007/s00270-005-0095-zsubject
Has Abstractpub_date
2006-05-01 00:00:00pages
395-400issue
3eissn
0174-1551issn
1432-086Xjournal_volume
29pub_type
杂志文章abstract:PURPOSE:Pelvic congestion syndrome is a common cause of chronic pelvic pain in women and its association with venous congestion has been described in the literature. We evaluated the potential benefits of lumbo-ovarian vein embolization in the treatment of lower abdominal pain in patients presenting with pelvic varicos...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s002709900116
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abstract:PURPOSE:To demonstrate the technical feasibility of the anterior approach to the coronal roof component of carefully selected acetabular fractures in computed tomography (CT)-navigated closed reduction and percutaneous fixation (CRPF). METHODS:Four patients with nondisplaced or slightly displaced coronal fractures of ...
journal_title:Cardiovascular and interventional radiology
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abstract::The aim of this study was to evaluate the feasibility, safety, and efficacy of combined treatment with hepatic interstitial brachytherapy (HIB) and hepatic arterial infusion (HAI) of chemotherapy after interventional implantation of port catheter systems. Thirty-three patients with unresectable "liver-only" metastases...
journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s00270-009-9597-4
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journal_title:Cardiovascular and interventional radiology
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abstract::In 19 out of 28 cases of single ventricle with inverted infundibulum and 1-transposition of the great arteries the right coronary artery arose from the posterior aortic sinus, the right anterior aortic sinus being the noncoronary one. This coronary arterial pattern was described before only in association with d-trans...
journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s00270-002-1980-3
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abstract::Anatomic variations in the major arteries of the upper extremities have been reported in 11-24.4% of individuals. In a review of 100 upper extremity arteriograms, we found an overall incidence of 9%. High origin of the radial artery from the brachial artery was the most frequently encountered anomaly occurring in 7% o...
journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/BF02603029
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journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s00270-012-0469-y
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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更新日期:2000-01-01 00:00:00
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更新日期:2013-12-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-012-0419-8
更新日期:2013-04-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s00270-009-9675-7
更新日期:2010-10-01 00:00:00
abstract::Patients with chemotherapy-refractory liver metastases who are not candidates for surgery may be treated with focal ablation techniques with established survival benefits. Irreversible electroporation is the newest of these and has the putative advantages of a nonthermal action, preventing damage to adjacent biliary s...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-012-0363-7
更新日期:2012-12-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s00270-013-0665-4
更新日期:2014-04-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/BF00192454
更新日期:1994-09-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章,随机对照试验
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章,评审
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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更新日期:1994-09-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
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更新日期:2011-02-01 00:00:00