Clinically, it is also simply called a gastric tube. The gastric tube is relatively short and easier to insert. The passage from the nose to the esophagus to the stomach is relatively smooth and not tortuous, and can usually be blindly inserted by a nurse.
Other catheters are more complicated. Nasoduodenal tubes, nasojejunal tubes, and jejunostomy tubes all need to be inserted into the intestines. The human intestines are tortuous and it is very difficult to insert them blindly. Generally, they are reserved by surgeons during surgery, or inserted under visual conditions through a gastroenterological endoscope.
For patients undergoing gastrointestinal resection, leaving this tube in place during surgery is based on surgeons' routine risk considerations, taking into account the possibility of anastomotic leakage in patients after surgery, just in case.
Patients with anastomotic fistula cannot eat normally through the mouth. The food they eat will overflow through the fistula and cause infection in the body. They must fast at the front of the fistula. With the existence of this nutrition tube that reaches below the fistula, the patient can continue to receive enteral nutrition support, which is called a life tube for such patients. Similarly, this patient now has an anastomotic fistula after surgery, and the fistula has not healed well, resulting in the nasojejunal tube not being removed. At the same time, there is definitely no need for a jejunal fistula for the time being.
We mentioned anastomotic fistula before, and now we talk about anastomotic fistula again. It is closely related to surgical operation, so we deliberately add the word "anastomotic" before fistula. After all, fistula may not only be caused by surgical operation, but also more often caused by the patient's own diseases and trauma, such as anal fistula, intestinal fistula, etc., which are not related to surgical operation, so they cannot be called anastomotic fistula.
The anastomosis, as the name implies, is the point where the front and back ends of healthy tissues and organs are reconnected after the diseased part of the organ tissue is removed by surgery. The surgical method is called anastomosis, and this point is called anastomosis.
It is necessary to understand these terms accurately in order to understand where anastomotic fistulas are usually hidden. Doctors who want to deal with anastomotic fistulas must first find the fistula. The problem is that the fistula is not easy to find in the first place. In theory, anastomotic fistulas are related to surgery, and the surgeon knows best where the anastomosis is, so the surgeon can find the fistula there. The surgeon can do this, but the surgery needs to be repeated, either by laparotomy or laparoscopy, both of which are more harmful to the body. The patient may not be able to tolerate lying on the operating table for a long time to undergo such a surgery again. This patient happens to have a poor physical condition. The surgeon needs to think twice before performing surgery on him again, so the first choice is not surgery to solve the fistula, so as to avoid the patient being unable to get off the operating table.
Instead of surgery, the fistula can be found in the patient's digestive tract using a digestive endoscope. Unlike surgery, which can open the intestines to find the fistula, a digestive endoscope can only be used to find and plug the fistula in the digestive tract with limited vision and limited auxiliary instruments. Therefore, an expert in internal medicine may be reflected in how to use a digestive endoscope.
I have heard from Senior Sister Jiang that Senior Brother Yu is a master in digestive endoscopy. Xie Wanying and two classmates continued to listen to the conversation between Senior Brother Yu and Doctor Shao.
...
...
"Have you tried the titanium clip? Did it work?" Yu Xuexian asked.
"Yes, yes." Doctor Shao nodded.
"That must be because the clamp was not placed at the right spot." Yu Xuexian pointed out the problem directly, that is, the fistula was not found and clamped.
Continue read on readnovelmtl.com
