What are the methods for jejunal nutrition tube implantation

There are many diseases that require patients to have jejunal nutrition tube implanted, such as pyloric stenosis or obstruction, etc. These diseases will cause symptoms of abdominal distension and vomiting after eating, so once these symptoms occur, you need to pay attention to them and go to the hospital for examination and treatment in time. Although the method of jejunal nutrition tube implantation can ensure the patient's eating, it is very troublesome. So what are the methods of jejunal nutrition tube implantation?

First, what are the methods for jejunal nutrition tube implantation? Gastrointestinal nutritional support provided through the enteral route is crucial to the prognosis of patients with some critical illnesses, digestive tract tumors, complications after esophageal and gastric surgery, severe malnutrition, etc. There are many methods to establish enteral nutrition in clinical practice. Among them, the method of placing a small intestinal nutrition tube under the assistance of gastroscopy is widely used in clinical practice because of its advantages of being intuitive, reliable and having a high success rate. Currently, there are many methods for endoscopic placement of jejunal feeding tubes, but the success rates reported vary. This study aimed to explore the clinical efficacy of jejunal feeding tube placement in patients using traditional and improved methods.

Second, infusion method: 50 mL of normal saline should be injected immediately after intubation to flush out gastric juice, bile and other mucus secreted during intubation. Before the first pumping of nutrient solution, 500 mL of 5% glucose saline should be slowly pumped in to check whether the pipeline is unobstructed and to allow the intestine to adapt. Start with an infusion rate of 60 mL/h. If well tolerated, the rate can be gradually increased to 120 mL/h. The speed is slow at the beginning of the infusion, which makes tube blockage more likely to occur. Close observation should be made and, when conditions permit, use an infusion pump as much as possible. Problems should be dealt with promptly if discovered. After the infusion is completed, the tube should be flushed with 20-30 ml of warm water or saline. Once poor perfusion occurs, consider the possibility of tube blockage and use a 20 mL syringe to repeatedly flush and aspirate, or dissolve pancreatic enzyme in warm water and inject it. During continuous infusion of nutrient solution, the catheter should be flushed with sterile saline or warm water every 4-6 hours. A thin feeding tube should be used, and granular or powdered drugs should not be infused through the tube to prevent tube blockage.

What are the methods for jejunal nutrition tube implantation? You can find out by understanding the above content, but you must pay attention to using gastric tube stickers with high viscosity and good air permeability, stick them on both sides of the nose and fix the tube firmly. The tail end of the catheter should be fixed on the ear or the side of the head to avoid compression of the tube. Check the position of the feeding tube once every 4 hours, measure the length of the exposed part, keep records, and complete the handover between shifts.