This question was closed without grading. Reason: No acceptable answer
Oct 17, 2008 16:44
15 yrs ago
3 viewers *
English term
Accurate -- Reliable -- Fast
Native in: Chinese 
Works in: English to Chinese, Chinese to English, German to Chinese, and 3 more.
tract
English
Medical
Medical (general)
Context: Advance the seeking catheter over the wire guide, then use the seeking catheter and wire guide as a unit to advance into the jejunum.
Remove the seeking catheter, leaving the wire guide in place.
Dilate the tract through the abdominal wall by advancing the supplied dilators, in sequential order, over the wire guide.
Question: Does the "tract" mean the gastrointestinal tract? Besides, why it is dilated "through the abdominal wall"?
Thank you in advance!
Remove the seeking catheter, leaving the wire guide in place.
Dilate the tract through the abdominal wall by advancing the supplied dilators, in sequential order, over the wire guide.
Question: Does the "tract" mean the gastrointestinal tract? Besides, why it is dilated "through the abdominal wall"?
Thank you in advance!
Reference comments
25 mins
Reference:
Could it possible be a "needle tract"..
?
Visceral anchor - Patent EP0246836
The wire guide 45 is now be used to further dilate the needle tract 48 by pushing one or more increasingly larger dilators over the wire guide and into the ...
www.freepatentsonline.com/EP0246836.html - Similar pages
by C Cope - 1991 - All 3 versions
--------------------------------------------------
Note added at 28 mins (2008-10-17 17:13:15 GMT)
--------------------------------------------------
Laparoscopic Insertion of Gastrostomy and Jejunostomy Feeding Tubes[14]
When PEG is contraindicated in situations like oesophageal malignancy, gross obesity (with poor transabdominal transillumination with gastroscope), and ascites, feeding gastrostomy or jejunostomy are performed by open surgery. Recently, techniques have been developed for laparoscopic insertion of gastrostomy and jejunostomy feeding tubes.
During laparoscopy the jejunum is first anchored to the posterior abdominal wall with the help of sutures. The jejunostomy tube is inserted using the Seldinger technique and using a standard introducer and peel-away sheath kit. A needle is introduced percutaneously into the jejunum and a guidewire is then passed through the needle. The tract is dilated over the guidewire with a 12 Fr dilator and sheath. The dilator is removed and a 10 Fr catheter is inserted through the sheath. The sheath is then peeled away leaving the feeding tube in the jejunum. The tube feeding can be started in the immediate post-operative period.
The technique for gastrostomy insertion is essentially identical except that a larger(18 Fr) balloon-tipped catheter is used.
?
Visceral anchor - Patent EP0246836
The wire guide 45 is now be used to further dilate the needle tract 48 by pushing one or more increasingly larger dilators over the wire guide and into the ...
www.freepatentsonline.com/EP0246836.html - Similar pages
by C Cope - 1991 - All 3 versions
--------------------------------------------------
Note added at 28 mins (2008-10-17 17:13:15 GMT)
--------------------------------------------------
Laparoscopic Insertion of Gastrostomy and Jejunostomy Feeding Tubes[14]
When PEG is contraindicated in situations like oesophageal malignancy, gross obesity (with poor transabdominal transillumination with gastroscope), and ascites, feeding gastrostomy or jejunostomy are performed by open surgery. Recently, techniques have been developed for laparoscopic insertion of gastrostomy and jejunostomy feeding tubes.
During laparoscopy the jejunum is first anchored to the posterior abdominal wall with the help of sutures. The jejunostomy tube is inserted using the Seldinger technique and using a standard introducer and peel-away sheath kit. A needle is introduced percutaneously into the jejunum and a guidewire is then passed through the needle. The tract is dilated over the guidewire with a 12 Fr dilator and sheath. The dilator is removed and a 10 Fr catheter is inserted through the sheath. The sheath is then peeled away leaving the feeding tube in the jejunum. The tube feeding can be started in the immediate post-operative period.
The technique for gastrostomy insertion is essentially identical except that a larger(18 Fr) balloon-tipped catheter is used.
Note from asker:
| Thanks! |
Peer comments on this reference comment:
| agree |
Demi Ebrite
: Great reference -Tthis will explains the 'tract' issue.
11 hrs
|
| agree |
Gary D
11 hrs
|
| neutral |
Federico Moncini
: Credo che si riferisca al termine stomìa
882 days
|
26 mins
Demi Ebrite
United States
United States
Native in English
&
English
Specializes in field
United States
Related KudoZ points
:
36
Reference:
visuals that may assist you
This article about "Percutaneous endoscopic gastrostomy" has prodecure photos and a lot of information you may find helpful.
--------------------------------------------------
Note added at 11 hrs (2008-10-18 04:09:18 GMT)
--------------------------------------------------
Here is a similar, useful bit about PEG.
http://insidesurgery.com/index.php?itemid=253
--------------------------------------------------
Note added at 11 hrs (2008-10-18 04:09:18 GMT)
--------------------------------------------------
Here is a similar, useful bit about PEG.
http://insidesurgery.com/index.php?itemid=253
Peer comments on this reference comment:
| agree |
Gary D
: in The Image you can see they have made the track hole wider (Dilated) to allow for the next dilator (hole expander) to advance through the hole
10 hrs
|
|
Thank you, Gary. Thanks for letting me know. This URL may be more useful. : ) Demi
|
Discussion