CN101322654A - Balloon for curing anastomotic leakage - Google Patents

Balloon for curing anastomotic leakage Download PDF

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Publication number
CN101322654A
CN101322654A CNA2007100419547A CN200710041954A CN101322654A CN 101322654 A CN101322654 A CN 101322654A CN A2007100419547 A CNA2007100419547 A CN A2007100419547A CN 200710041954 A CN200710041954 A CN 200710041954A CN 101322654 A CN101322654 A CN 101322654A
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CN
China
Prior art keywords
conduit
sacculus
balloon
curing
lumen
Prior art date
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Pending
Application number
CNA2007100419547A
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Chinese (zh)
Inventor
李国庆
梅举
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine filed Critical XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
Priority to CNA2007100419547A priority Critical patent/CN101322654A/en
Publication of CN101322654A publication Critical patent/CN101322654A/en
Pending legal-status Critical Current

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  • Prostheses (AREA)

Abstract

The invention relates to a sacculus for treating anastomosis fistula, comprising a catheter, a cavity tube, a large sacculus and a small sacculus; five cavity tubes are collected in the catheter, the upper half section of the catheter is provided with a cavity tube opening, the lower half section of the catheter is equipped with the large sacculus, the small sacculus and an end hole of the cavity tube; the large sacculus and the small sacculus are used for cutting off the fluid connection between the esophagus and the stomach with the anastomosis fistula, and the cavity tubes are adopted for the drainage of the esophagus, the stomach and the fistula and for supplying medicines and nutrients, thus creating a good repairing environment for the esophagus-stomach anastomosis fistula. The invention has the advantages that: the sacculus can separate the esophagus-stomach anastomosis fistula from the esophagus and the stomach, can achieve the effect of surgical repair or the effect beyond the effect of surgical repair by a non operative approach, thus facilitating the restoration and healing of the anastomosis fistula, relieving the pains of patients, shortening the treatment period, reducing medical expenses and improving the curative ratio of the esophagus-stomach anastomosis fistula; meanwhile, the sacculus for treating anastomosis fistula has few surgical risk, can not lead to other complication and is an effective special medical instrument for treating the esophagus-stomach anastomosis fistula.

Description

Balloon for curing anastomotic leakage
[technical field]
The invention belongs to technical field of medical instruments, specifically, is a kind of treatment sacculus for the treatment of the esophageal-gastric fistula of operative incision.
[background technology]
In allegro work of modern times, for various reasons, the people who gets gastropathy has increased.In operative treatment, it is reported that the incidence rate of esophageal-gastric fistula of operative incision is 0.5~2% to gastropathy.Behind the human body generation fistula, the necrosis of fistula mouth surrounding tissue, inflammation, edema are difficult to be repaired, so that constantly have Digestive system to enter the thoracic cavity from the fistula mouth, make anastomotic stoma and intrathoracic infection is prolonged does not heal.Main treatment measure to this disease has: stomach, chest drainage, make the jejunum fistulation for enteral nutrition, and measure greatly, unite for a long time and use antibiotic etc.But these treatment measures are difficult to fistula of operative incision and digestive tract tube chamber are thoroughly isolated, even operation also is difficult to accomplish.To early stage esophageal-gastric fistula of operative incision, if the patient body situation is fair, but operative repair fistula mouth, still, the incidence rate of fistula is very high once more after the operation.For the later esophageal-gastric fistula of operative incision of discovery, or patient's physical condition is not good, then can only carry out expectant treatment, and still, its death is that rate is higher, and medical expense is more expensive, and most patients need hospitalization several months even half a year, 1 year.At present, with regard to prior art, also few to the treatment means of esophageal-gastric fistula of operative incision, therapeutic effect is also undesirable.In technical field of medical instruments, even also there is not a kind of apparatus that is specifically designed to treatment esophageal-gastric fistula of operative incision.
[summary of the invention]
The objective of the invention is to overcome the deficiencies in the prior art, providing a kind of can keep apart esophageal-gastric fistula of operative incision and esophagus and stomach, and the reparation, the quickening fistula mouth that are beneficial to anastomotic stoma heal, shorten treatment cycle, improve the esophageal-gastric balloon for curing anastomotic leakage of the special use of fistula mouth cure rate.
For realizing the purpose of foregoing invention, balloon for curing anastomotic leakage of the present invention contains conduit, lumen, big sacculus and little sacculus; Five lumens are summarised in the conduit, and the upper semisection of conduit is provided with the opening and the gag of five lumens, and the lower semisection of conduit is established and is with big sacculus, little sacculus, and are provided with the stomidium of five lumens.
Described lumen is stomach drain lumen, anastomotic stoma drain lumen, esophagus drain lumen, big sacculus trachea and bead capsule trachea.
Described big sacculus is the oblate spheroid air bag, and its outer periphery is provided with the shirt rim.
Described little sacculus is cylindrical air bag, and the air bag outer periphery at two ends up and down is provided with sealing ring.
The opening of described stomach drain lumen is arranged on the upper semisection of conduit, and its stomidium is arranged on the proximal end of conduit lower semisection, has diplopore or porous.
The opening of described anastomotic stoma drain lumen is arranged on the upper semisection of conduit, and its stomidium is arranged between the big sacculus and little sacculus of conduit lower semisection.
The opening of described esophagus drain lumen is arranged on the upper semisection of conduit, its stomidium be arranged on the little sacculus of conduit lower semisection above.
The opening of described big sacculus trachea is arranged on the upper semisection of conduit, and its stomidium is arranged on the interior tube wall of the big sacculus air bag of conduit lower semisection.
The opening of described bead capsule trachea is arranged on the upper semisection of conduit, and its stomidium is arranged on the interior tube wall of conduit lower semisection bead capsule air bag.
Described conduit divides upper semisection conduit and lower semisection conduit, uses inserted adaptor cup jointing between two sections conduits, and the lumen in the conduit divides color inserted adaptor cup jointing.
The action principle of balloon for curing anastomotic leakage of the present invention is:
Cut off Digestive system mobile get in touch of esophagus stomach function regulating by the buffer action of big sacculus and little sacculus through anastomotic stoma, use three lumens simultaneously---stomach drain lumen, anastomotic stoma drain lumen and esophagus drain lumen come drain stomach, fistula mouth and esophagus, and to fistula confession medicine, support to gastric, make the esophageal-gastric anastomotic stoma that an excellent repairing environment be arranged; Obtain operative repair with nonoperative way, in addition the operative repair effect that can not obtain, Shou Shu risk is little simultaneously, and damage is few, can not produce other complication.
The good effect of balloon for curing anastomotic leakage of the present invention is: esophageal-gastric fistula of operative incision and esophagus and stomach can be kept apart, help reparation, treatment and the healing of anastomotic stoma, can alleviate the cure rate of patient's misery, shortening treatment cycle, the medical expense that reduces, raising esophageal-gastric fistula of operative incision, be a kind of special-purpose medical apparatus and instruments of effective treatment esophageal-gastric fistula of operative incision.
[description of drawings]
Accompanying drawing is the structural representation of balloon for curing anastomotic leakage of the present invention;
Label shown in the figure is respectively:
1, conduit, 2, big sacculus, 3, the shirt rim, 4, little sacculus, 5, sealing ring, 6, stomach drainage lumens tube opening, 7, anastomotic stoma drainage lumens tube opening, 8, esophagus drainage lumens tube opening, 9, big sacculus trachea opening, 10, bead capsule trachea opening, 11, gag, 12, esophagus drainage lumens pipe end hole, 13, bead capsule trachea stomidium, 14, anastomotic stoma drainage lumens pipe end hole, 15, big sacculus trachea stomidium, 16, stomach drainage lumens pipe end hole.
[specific embodiment]
Following with reference to accompanying drawing, provide the specific embodiment of balloon for curing anastomotic leakage of the present invention.
Balloon for curing anastomotic leakage of the present invention contains conduit 1, lumen, big sacculus 2 and bead capsule 4; Five lumens---stomach drain lumen, anastomotic stoma drain lumen, esophagus drain lumen, big sacculus trachea and bead capsule trachea---are summarised in the conduit 1, the opening of five lumens is set at the upper semisection of conduit 1---stomach drainage lumens tube opening 6, anastomotic stoma drainage lumens tube opening 7, esophagus drainage lumens tube opening 8, big sacculus trachea opening 9, bead capsule trachea opening 10 and gag 11 thereof, the position of each lumen opening can up-down adjustment; Operation during for convenient treatment, the upper semisection of conduit 1 can be made into the body than hard, and the lower semisection of conduit 1 be because of will inserting human body, thereby must be soft; Therefore, the making of the upper semisection of conduit 1 and lower semisection branch can being come, between use inserted adaptor cup jointing, the lumen in the conduit 1 can be divided into the joint of different color, press color then and docks with inserted joint, makes things convenient for use; Be provided with the stomidium of big sacculus 2, bead capsule 4 and five lumens at the lower semisection of conduit 1.
Conduit 1 and lumen adopt the medical PVC material, can divide different size to make, and make it to be applicable to the patient of all ages and classes section.
Big sacculus 2 is enclosed within the middle part of conduit 1 lower semisection, be to insert in the esophageal-gastric anastomotic stoma by oblate spheroid air bag stomach one end, that isolate stomach, its outer periphery is provided with shirt rim 3, inflation along with the oblate spheroid air bag, shirt rim 3 also obtains launching, can cover the inlet of esophagus preferably, isolate the backflow of gastric juice to anastomotic stoma to stomach.Big sacculus 2 adopts medical soft elastomeric material or medical PVC material, can not damage patient's internal organs, and in actual fabrication, big sacculus 2 can divide different size to make, and makes it to be applicable to the patient of all ages and classes section.
Bead capsule 4 is enclosed within on the conduit 1 above the big sacculus 2, is to insert in the esophageal-gastric anastomotic stoma by cylindrical air bag esophagus one end, that isolate esophagus, and the air bag outer periphery at two ends up and down has sealing ring 5; After bead capsule 4 inflation, stop up esophagus, sealing ring 5 plays the effect that strengthens sealing, does not allow flow of liquid such as saliva to the esophageal-gastric anastomotic stoma.Bead capsule 4 adopts medical soft elastomeric material or medical PVC material, and sealing ring 5 is colloid thickening annulus or annular projection.In actual fabrication, bead capsule 4 can divide different size to make, and makes it to adapt to all ages and classes section patient's needs.
Cabling in the stomach drain lumen extension catheter 1, stomach drainage lumens pipe end hole 16 openings be at the proximal end of conduit 1 lower semisection, and for helping the more peptic digestion liquid of the amount of sopping up or provide prescribing adequate nutrition liquid to gastric, this stomidium can be designed to diplopore or porous.
Anastomotic stoma drain lumen is extension catheter 1 interior cabling also, and anastomotic stoma drainage lumens pipe end hole 14 openings can carry out drain to anastomotic stoma, or treat towards the injection thing on conduit 1 tube wall between big sacculus 2 and the bead capsule 4; Because the buffer action of big sacculus 2 and bead capsule 4, making becomes an isolation area here, and the liquid that inflammation produces is by drain in time, and the medicine that dashes notes can produce better therapeutic effect.
Esophagus drain lumen is cabling in the extension catheter 1 also, on the tube wall of the conduit 1 of esophagus drainage lumens pipe end hole 12 openings on bead capsule 4, the oral cavity from the people can be flowed down, by the liquid drains such as saliva that bead capsule 4 is blocked, avoid it that anastomotic stoma is impacted.
Cabling in the big sacculus trachea extension catheter 1 is on the tube wall of the big conduit 1 of sacculus trachea stomidium 15 openings in being rolled in big sacculus 2 air bags.Can inflate big sacculus 2, keep inflated condition or venting by big sacculus trachea with gag 11.
Cabling in the bead capsule trachea extension catheter 1 is on the tube wall of the conduit 1 of bead capsule trachea stomidium 13 openings in being rolled in bead capsule 4 air bags.Can inflate bead capsule 4, keep inflated condition or venting by bead capsule trachea with gag 11.
The application mode of balloon for curing anastomotic leakage of the present invention is:
Insert guide wire by original stomach tube, withdraw from stomach tube, under the guiding of guide wire, insert fistula of operative incision and isolate sacculus to stomach, pull back after being inflated to big sacculus 2 to a certain degree and make it just in time be stuck in the anastomotic stoma below, big sacculus 2 diameters after the inflation are much larger than the diameter of anastomotic stoma, add the combined effect of shirt rim 3, block the anti-stream of stomach to anastomotic stoma; Then, with Endo-esophageal bead capsule 4 inflations in anastomotic stoma top, keep apart with its esophagus with anastomotic stoma and top, sealing ring 5 can be strengthened this isolation; Stomach drain lumen can be done the drain of stomach, also can inject nutritional solution to gastric; Anastomotic stoma drain lumen is drain fistula mouth directly, also can directly alleviate local inflammation, promote organization healing towards the injection thing to anastomotic stoma; Esophagus drain lumen makes the esophageal-gastric anastomotic stoma that a repairing environment preferably arranged with the saliva that the drain people produces and swallows naturally.

Claims (10)

1, a kind of balloon for curing anastomotic leakage contains conduit, lumen, it is characterized in that, also comprises big sacculus and little sacculus; Lumen is summarised in the conduit, and the upper semisection of conduit is provided with the opening and the capping plug of lumen, and the lower semisection of conduit is with little sacculus, big sacculus, and is provided with the stomidium of lumen.
2, balloon for curing anastomotic leakage according to claim 1 is characterized in that, described lumen is stomach drain lumen, anastomotic stoma drain lumen, esophagus drain lumen, big sacculus trachea and bead capsule trachea.
3, balloon for curing anastomotic leakage according to claim 1 is characterized in that, described big sacculus is the oblate spheroid air bag, and its outer periphery is provided with the shirt rim.
4, balloon for curing anastomotic leakage according to claim 1 is characterized in that, described little sacculus is cylindrical air bag, and the air bag outer periphery at two ends up and down is provided with sealing ring.
5, balloon for curing anastomotic leakage according to claim 2 is characterized in that, the opening of described stomach drain lumen is arranged on the conduit upper semisection, and its stomidium is arranged on the proximal end of conduit lower semisection, has diplopore or porous.
6, balloon for curing anastomotic leakage according to claim 2 is characterized in that, the opening of described anastomotic stoma drain lumen is arranged on the conduit upper semisection, and its stomidium is arranged between the big sacculus and slight sacculus of conduit lower semisection.
7, balloon for curing anastomotic leakage according to claim 2 is characterized in that, the opening of described esophagus drain lumen is arranged on the conduit upper semisection, its stomidium be arranged on the little sacculus of conduit lower semisection above.
8, balloon for curing anastomotic leakage according to claim 2 is characterized in that, the opening of described big sacculus trachea is arranged on the conduit upper semisection, and its stomidium is arranged on the interior tube wall of the big sacculus air bag of conduit lower semisection.
9, balloon for curing anastomotic leakage according to claim 2 is characterized in that, the opening of described bead capsule trachea is arranged on the conduit upper semisection, and its stomidium is arranged on the interior tube wall of conduit lower semisection bead capsule air bag.
10, balloon for curing anastomotic leakage according to claim 1 is characterized in that, described conduit divides upper semisection conduit and lower semisection conduit, uses inserted adaptor cup jointing between two sections conduits, and the lumen in the conduit divides color inserted adaptor cup jointing.
CNA2007100419547A 2007-06-13 2007-06-13 Balloon for curing anastomotic leakage Pending CN101322654A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CNA2007100419547A CN101322654A (en) 2007-06-13 2007-06-13 Balloon for curing anastomotic leakage

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CNA2007100419547A CN101322654A (en) 2007-06-13 2007-06-13 Balloon for curing anastomotic leakage

Publications (1)

Publication Number Publication Date
CN101322654A true CN101322654A (en) 2008-12-17

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Family Applications (1)

Application Number Title Priority Date Filing Date
CNA2007100419547A Pending CN101322654A (en) 2007-06-13 2007-06-13 Balloon for curing anastomotic leakage

Country Status (1)

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CN (1) CN101322654A (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102551818A (en) * 2012-01-19 2012-07-11 上海交通大学医学院附属新华医院 Esophagus-stomach anastomotic fistula occluder and application thereof
CN106821319A (en) * 2017-02-07 2017-06-13 浙江大学 A kind of device for detecting tracheae bronchial fistula mouthful

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102551818A (en) * 2012-01-19 2012-07-11 上海交通大学医学院附属新华医院 Esophagus-stomach anastomotic fistula occluder and application thereof
CN106821319A (en) * 2017-02-07 2017-06-13 浙江大学 A kind of device for detecting tracheae bronchial fistula mouthful

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Open date: 20081217