中国营养治疗网 Cystic nasojejunal tube

Introducing a new nasoenteric tube——Balloon nasoenteric Tube( Chen‘s  Tube)

 

Balloon nasoenteric tube  is invented by a Chinese surgeon (Dr. Yiqi Chen). Based on its unique features,  Balloon nasoenteric tube has completely changed the traditional structure of nasogastric and nasojejunal  tubes, been issued by the State Intellectual Property Office the People's Republic of China invention patent (patent number: ZL03115803X) and by the Zhejiang Provincial Food and Drug Administration approval clinical application.
 
Accordingly, balloon nasoenteric tube has the best performance in the field of tube. Depending on different clinic requirements, the tube can be combined with special nasogastric tube or wire. (Figure 1
2)

 

Structure of Balloon nasoenteric Tube

     double-lumen

      outer3.0-3.5mm

      1200-3000mm long

      2 adapters ( redwhite)          

      1 balloon

      3 lateral  outlet  ports

Figure 3

 

Balloon nasoenteric Tube  is a flexible double-lumen tube outer 3.0~5.0mm in diameter and 1200~3000mm long, with a balloon at the front tip,There are 3 holes near the inner side of the front tip. There are 2 connecters at the end of tube: a red one to connect the balloon, used as filling liquid into the balloon; a white one to connect the 3 holes, used as  decompression or injecting liquid. Depending on different clinic requirements, the tube can be combined with special nasogastric tube or wire. (Figure 123)

I-a Type  Balloon nasoenteric Tube

(The combination of balloon nasoenteric tube with special nasogastric tube )

Figure 1

 

I-a Type  Balloon nasoenteric Tube

(The combination of balloon nasoenteric tube with special nasogastric tube )

Figure 1

 

 

 

 

     Balloon nasoenteric Tube

     Figure 3

 

Features of Balloon nasoenteric Tube

●after inserting Balloon nasoenteric Tube into stomach via nose, inject 2~3ml liquid from the red adapter, then the front tip expands gradually into a liquid balloon like “Chyme group”Figure 4).

 

Figure 4

 

●With gastric peristalsis, this  liquid balloon  brings automatically the tube into jejunum within about 30 minutes.

●I-a Type  Balloon nasoenteric Tube

(The combination of balloon nasoenteric tube with special nasogastric tube )is inserted into the stomach through the patents’ nose. After 2~3ml liquid is injected from the red adapter, the combined tubes separate from each other automatically. The nasogastric tube stays in the stomach for drainage  ,while balloon nasoenteric tube  enters into small  bowel automatically. Then, dependent on the patients' condition, either the nasogastric tube or balloon nasoenteric tube could be selected and utilized.

(Figure.5) 

 

Figure5

●During surgery, the doctor can touch the liquid balloon easily from stomach surface. It takes about 1~2 minutes to put the balloon into small bowell,or clamp the tube near balloon to push into small bowell.

●The location of balloon nasoenteric  Tube in the gastrointestinal can be adjusted through changing the volume of liquid within the liquid baloon. For example, after the balloon nasoenteric Tube arrives at the targeted location, its movement can be terminated by draining out of the liquid through the red adapter . If the further movement of the balloon nasoenteric Tube down through the intestine is desired, liquid can be refilled into the tube through the red adapter .

Placement of Balloon nasoenteric Tube

  Same method of operation as the nasogastric tube.

        

After the confirmation of the tube within the stomach at the desired location, inject 2~3ml liquid from the red opening liquid of cyst nasoenter tube and close the lid.

Further insert the nasogastric tube into the stomach by 1535cm, which depends on the patient's condition, can be facilitated by providing the patients with drinking water to help the swallow of the tube. Or, about 20cm of the tube is hanged in the air, after which the tube is immobilized.

Indications

    ● The tube is indicaited for all patients who have a functioning  intestinal  tract with impaired stomach motility and/or increased risk of aspiration .

     The tube is indicaited for surgical patients using enteral jejunal nutrition

     ● The tube is indicaited in the small bowell obstruction

       The tube is indicaited in the small bowell for radiography

        The tube is indicaited for digestion leakage which can also be put directly

Contraindications

II-a Type Balloon nasoenteric Tube acute upper gastrointestinal bleeding.

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