METHOD OF INSTALLATION OF DUODENAL DECOMPRESSIVE FEEDING PROBE

FIELD: medicine. ^ SUBSTANCE: invention relates to medicine, in particular to surgery, and can be used in treatment of surgical diseases for decompression of upper part of digestive tract and carrying out enteral probe feeding. Fibrogastroscopy is carried out with parallel passing of duodenal probe to low horizontal part of duodenum. Guiding fishing line is passed through nasal meatus and taken out through mouth cavity. Further guiding fishing line is passed through biopsy canal of endoscope from distal end and taken out from proximal end of endoscope. Then endoscope is passed to low horizontal part of duodenum with guiding fishing line. Biopsy forceps are passed through duodenal probe. Guiding fishing line going out from nasal meatus is caught with biopsy forceps. Biopsy forceps with seized guiding fishing line are brought into duodenal probe opening. With translational movements through nasal meatus parallel to endoscope duodenal probe is introduced into digestive tract to low horizontal part of duodenum. Simultaneously, with reverse movements other end of guiding fishing line passed through biopsy canal of fibrogastroscope is taken out. Biopsy forceps are taken out of duodenal probe opening. Guiding fishing line is released. Fishing line is removed through biopsy canal of endoscope. Mucosa of low horizontal part of duodenum is gripped with biopsy forceps to prevent probe displacement. Endoscope is removed under vision control. Biopsy forceps are detached from duodenum mucosa and are removed from duodenal probe opening with reverse-translational movements. ^ EFFECT: method allows to pass probes, including ones with diametre 14-15 mm, to low horizontal part of duodenum under control of endoscope vision, excluding displacement of probe out of duodenum due to reliable fixation of probe during endoscope removal. ^ 4 dwg Изобретение относится к медицине, в частности к хирургии, может быть использовано при лечении хирургических заболеваний для декомпрессии верхнего отдела пищеварительного тракта и проведении энтерального зондового питания. Проводят фиброгастроскопию с параллельным проведением дуоденального зонда до нижнегоризонтальной части двенадцатиперстной кишки. При этом проводят леску-проводник через носовой ход и выводят наружу через ротовую полость. Далее леску-проводник проводят через биопсийный канал эндоскопа с дистального конца и выводят с проксимального конца эндоскопа. Затем проводят эндоскоп до нижнегоризонтальной части двенадцатиперстной кишки с