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  • Prehranjevanje po sondi = Tube feeding
    Štor, Zdravko
    Background: Tube feeding should be considered when the patient cannot or will not eat due to an operative procedure and the patient has functional gut. The feeding tube is placed at the time of the ... initial operation and enteral feeding is initiated early. In high-risk surgical patient studies show reduced septic morbidity rate when enteral feeding is initiated early. Patients and methods: In the period from January 1, 1993, to December 31, 2002,379 patients with carcinoma of the stomach underwent potentially curativetotal gastrectomy. A jejunostomy tube was placed in 123 (32.5%) cases (group one). Additionally, between January l, 1995, and December 31. 2000, 128patients underwent pancreatectomy. A jejunostomy tube was placed in 34 (26.6%) cases (group 2). Results: In the first group of 123 patients wit jejunostomy tube after total gastrectomy, 55 (44.7%) had a sense of bloating and diarrhoea; in 20 (16.3%) of them we stopped the feeding, while in 35 (28.5%) we decreased the delivery rate; in four (3.3%) patients there was tubeclogging, and in 3 (2.4%) jejunostomy dislodging was complicated. One (0,8%) had to be reoperated due to peritonitis after jejunostomy tube removal. In the second group (34 patients) 2 (5.9%) patients had to be reoperated for leakage and peritonitis. Conclusions: Complications with feeding tubes are rare. The rate of tube obstruction is related to tube diameter, quality of nursing care, tube type, and duration of tube placement. Major, life-threatening complications (leakage, peritonitis, ileus) are rare
    Vir: Gastroenterolog : revija Slovenskega združenja za gastroenterologijo in hepatologijo = journal of Slovenian Association for Gastroenterology and Hepatology. - ISSN 1408-2756 (Letn. 10, št. 22, maj 2006, str. 15-23)
    Vrsta gradiva - članek, sestavni del
    Leto - 2006
    Jezik - slovenski
    COBISS.SI-ID - 21840089

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