CN208371975U - A kind of percutaneous stomach fistulization oral intragastric balloon embedded device - Google Patents

Abstract

The utility model provides a kind of percutaneous stomach fistulization oral intragastric balloon embedded device, the device includes air bag, the open end of air bag is connect with conduit, conduit includes inner catheter and outer catheter, the inner catheter is balloon catheter, the outer catheter is stomach fistula catheter, and there is stomach fistula catheter mushroom head air bag to be helped to be fixed in stomach, and inlet end and the steel ring or syringe of balloon catheter are detachably connected.Stomach Qi ductus bursae is introduced in patient's stomach by PEG stoma, is to cause satiety to able person after the inflation of stomach Qi capsule, so that so that patient is reduced food ration reduces gastric capacity and loss of weight purpose to play.Balloon inflatable 300-1000mL, air bag has good acid resistance, is not easy to be corroded by gastric juice and food, safe and reliable in stomach.The technology is compared with traditional operation easy to operate, cost, does not change that gastral physiological structure function, nearly long term complication be few, postoperative easy maintenance, there is excellent clinical value and social benefit.

Description

A kind of percutaneous stomach fistulization oral intragastric balloon embedded device

Technical field

The utility model belongs to the field of medical instrument technology, and in particular to a kind of percutaneous stomach fistulization oral intragastric balloon merging dress It sets.

Background technique

Obesity refers to that body fat accumulates excessive and (or) abnormal distribution, weight gain, and being includes h and E factor The caused chronic metabolic disease of many factors interaction inside.Obesity is in recent years not only in western countries, in China Equally also increasingly affect people's health.According to statistics, there are 4.75 hundred million obesity patients in the whole world, every year at least 2,600,000 people Die of fat and related disease.It is shown according to " Data of Civil Constitution Monitoring bulletin in 2010 ", the adult overweight rate in China is 32.1%, fertilizer Fat rate is 9.9% (clinical practice, the 8th edition 769-774).Obesity can not only reduce people's lives quality, various relevant health It checks and intervening measure is also required to a large amount of economic input, economic cost and social cost have become the serious burden of society. Currently, the major way of obesity controlling includes keeping on a diet, the lipsuction of the adjusting of life style and surgery, cutting rouge art, is each Kind reduces the operation (jejunoileum bypass, stomach Qi capsule art, small stomach operation, vertical ligation gastroplasty etc.) of food absorption, with Achieve the purpose that reduce nutrient absorption control weight.But operation may concurrent irreversible malabsorption, anaemia, stomach and intestine it is narrow etc. Complication has certain risk.

The principle of reatment of obesity mainly includes reducing caloric intake and increasing in terms of heat consumption two.It emphasizes with row For the complex treatment based on, diet, movement, it is aided with drug or operative treatment when necessary.Although diet intervention and medicament selection It is many kinds of, but it is single keep on a diet and increase movement patient tend not to adhere to for a long time, can rebound if weight of stopping, Cause " more subtracting more fat ", and prolonged administration of drugs treatment reaches satiety then and has potential heart and liver by intervention feed maincenter Kidney toxic side effect, it is unhealthful.Traditional surgical operation therapy has the advantages of good late result, National Institutes of Health (NIH) recommend BMI >=40Kg/m²Or BMI >=35Kg/m²And there is the obese patient of complication to receive surgical operation therapy.Subtract at present Weight operation method mainly has peritoneoscope stomach sleeve resection (LSG), peritoneoscope stomach by-pass operation etc., however loss of weight hand under laparoscope Art have it is more apparent traumatic, 5 years follow-up investigations that one delivered for 2014 performs the operation to 161756 losss of weight show loss of weight perform the operation The incidence of postoperative complications is 17%, wherein peritoneoscope stomach sleeve resection (LSG) about 13%.Its postoperative complications is mainly wrapped Include postoperative hemorrhage, venous thromboembolism, the leakage of residual stomach, residual gastric ulcer, residual gastrostenosis, abdominal hernia, Biliary Calculi, gastroesophageal reflux, Nutrition complication, body change etc., the incidence of remnant gastric cancer at a specified future date can also increase.Therefore, one kind is designed " to change without stomach and intestine The method that road " and cut-out stomach just can be reduced stomach volume, and compared to laparoscopic surgery is smaller to patient trauma, complication more Less, safety is higher, so that reaching the new operation treatment mode for the treatment of obesity becomes demand urgent at present.

Ponsky method (PEG), which refers to, enters gastral cavity through abdomen wall puncture with trochar under scope, is placed in seal wire, Guidance stomach stoma direct oral cavity, oesophagus enter gastral cavity, thus the stomach fistulization formed.PEG has (5-15min) easy to operate, can It is placed in patient's bedside, only needs local anaesthesia, safety, stoma indwelling time is long, up to 1 year or more, the characteristics of few intercurrent disease, It is mainly used at present because various diseases cause the patient of oral feeding difficulty with nutritional support.The one of Christopher C etc. The clinical multicenter prediction randomized control study of item is suffered from by PEG technology under scope and external suction device combination therapy obesity Person, the research include 207 obese patients and after 52 weeks clinical course for the treatment of, by stoma and aspirator by treatment group's obesity About the 30% of patient's dietary intake pumps out, and loss of weight is significant in efficacy.But the daily breakfast, lunch and dinner of the treatment are both needed to will using aspirator Food portion is sucked out, and is not easy to patient's daily life.It is therefore desirable to improve endoscopic technic treatment obesity to keep patient more preferable Receive and improve their quality of life.

Utility model content

To solve the above-mentioned problems, the purpose of this utility model is to provide a kind of percutaneous stomach fistulization oral intragastric balloons to be placed in Device is improved in PEG technology, and a stomach Qi ductus bursae, quasi-step matrix stomach Qi ductus bursae and PEG are placed in stomach stoma This two mature technologies via Microendoscopic interventional therapy obesity.After the inflation of stomach Qi capsule, patient can still be fed, but because of stomach Feed is reduced since then there is satiety after volume reducing, because food-intake reduces weight loss naturally after the several months.It is this Method reduces complication occurrence probability without carrying out the purpose that stomach resecting operation is reached for obesity patient's loss of weight.

To achieve the goals above, the utility model the following technical schemes are provided:

A kind of percutaneous stomach fistulization oral intragastric balloon embedded device, which includes air bag, and the air bag has acidproof well Property, be not easy to be corroded by gastric juice and food, it is safe and reliable in stomach；The open end of the air bag is connect with conduit, the conduit Including inner catheter and outer catheter, the inner catheter is balloon catheter, and the outer catheter is stomach fistula catheter, the air inlet of the conduit End is detachably connected with steel ring or syringe, and after air bag is placed in stomach, the steel ring can be taken down, and connects syringe；The gas Capsule is put into stomach by stomach fistula catheter, and the mushroom head of stomach fistula catheter can help air bag to be fixed in stomach, is not fallen out.

Further, the pneumatic volume of the air bag is 300-1000mL, adjusts air in air bag by syringe and contains Amount controls air bag size, to adjust intragastric volume, increases satiety, reaches fat-reducing effect.

Further, scale is had on the conduit, prompts the position of air bag merging.

Further, the balloon catheter is tapered far from one end of air bag.

Further, external fixator is equipped between the conduit and the syringe.

The utility model has the advantages that the utility model provides a kind of percutaneous stomach fistulization oral intragastric balloon embedded device, in PEG technology It is improved, adds a stomach Qi ductus bursae, quasi-step matrix stomach Qi ductus bursae and PEG this two in stomach stoma head end and stomach inner tube Mature technology via Microendoscopic interventional therapy obesity.Stomach Qi ductus bursae is introduced in patient's stomach by PEG stoma, is given Able person is to cause satiety after the inflation of stomach Qi capsule, so that so that patient is reduced intake appetite reduces gastric capacity and loss of weight mesh to play 's.The inflatable 300-1000mL of sacculus.Air bag has good acid resistance, is not easy to be corroded by gastric juice and food, pacifies in stomach It is complete reliable.The technology has compared easy to operate, cost with traditional operation, has not changed gastral physiological structure function, is close The advantages that long term complication is few, postoperative easy maintenance, there is excellent clinical value and social benefit.

Detailed description of the invention

Fig. 1 is the structural schematic diagram of the utility model.

Fig. 2 is the structural schematic diagram before the utility model inflation.

Fig. 3 is the structural schematic diagram after the utility model inflation.

In figure: 1, air bag；2, mushroom head；3, conduit；31, stomach fistula catheter；32, balloon catheter；4, steel ring；5, it injects Device, 6, external fixator.

Specific embodiment

Further describe the utility model combined with specific embodiments below, but examples are merely exemplary, it is not right The scope of the utility model constitutes any restrictions.It will be understood by those skilled in the art that without departing from the utility model Under spirit and scope can details to technical solutions of the utility model and form modify or replace, but these modifications and replace It changes and each falls in the protection scope of the utility model.

A kind of percutaneous stomach fistulization oral intragastric balloon embedded device, which includes air bag 1, the inflatable 300- of the air bag 1 1000mL；The open end of the air bag 1 is connect with conduit 3, on the conduit 3 have scale, the conduit 3 include inner catheter and Outer catheter, the inner catheter are balloon catheter 32, and the outer catheter is stomach fistula catheter 31, the air bag 1 and the conduit 3 Intersection is equipped with mushroom head 2, and inlet end and the steel ring 4 or syringe 5 of the conduit 3 are detachably connected, and air bag 1 is placed in stomach Afterwards, the steel ring 4 can take down connection syringe；The air bag 1 is put into stomach by stomach fistula catheter 31, the mushroom head 2 Air bag 1 can be helped to be fixed in stomach, do not fallen out.

Further, the balloon catheter 32 is tapered far from one end of air bag 1.

Further, external fixator 6 is equipped between the conduit 3 and the syringe 5.

Percutaneous Endoscopic gastrostomy stomach Qi ductus bursae implantation, specifically used equipment and surgical procedure are as follows:

Percutaneous endoscopic stomach fistulization is set with (drawing type, 20Fr)；Stomach Qi ductus bursae；290 host of olympus doscope host, HQ290 scope；Aseptic dressing and abdominal belt.

Surgical procedure:

1, oral insert gastroscope, the gas injection into stomach check gastric mucosa confirmation without ulcer and stigma；

2, fixed gastroscope head end, illumination detection paries anterior gastricus press illumination region in body surface with finger, clearly see under gastroscope It is pressed to stomach wall；

3, fistulization position, sterile drape and injection site anaesthetic are determined；

4,1cm notch is done through skin and subcutaneously with scalpel, puncture needle and casing is inserted by gastral cavity by notch, exited Puncture needle leaves the access that casing maintains stomach；

5, it maintains stomach to be in inflated condition seal wire flexibility head end by casing, is placed in foreign body forceps through gastroscope biopsy forceps road, Seal wire head end is clamped, gastroscope and seal wire direct oral cavity are taken out, seal wire one end is located at buccal side at this time, and one end is located at notch side；

6, by seal wire cross-fixing at stoma leading portion and oral cavity, seal wire is tightened in incision and is pulled, stoma is passed through Oral cavity drawing enters gastral cavity, until leading portion withstands casing and goes out stomach wall through notch jointly with casing；

7, gastroscope is passed transorally into observation in stomach, and continues at incision drawing seal wire, up to Endoscopic Observation to stoma Lip end in contact stomach wall, is then log out gastroscope；

8, skin fixator is placed on stoma pipe and is slided and set skin surface and tightened fixation, in X mark on pipeline Cut off stoma；

9, will behind the oesophagus capsule sufficient lubrication pipeline surface of stomach airsac tube, through stoma insertion until gastric pouch enter gastral cavity or Oral conducting wire introduces in stomach, and 300-1000mL gas is injected into gastric pouch according to patient's own situation；

10, stomach airsac tube catheter opening and fistulization pipe port are closed, aseptic dressing covers incision of abdominal wall, abdominal belt wrapping；11, Operation terminates.

Postoperative 24 hours patients can restore to feed, and incision of abdominal wall periodically sterilizes more change dressings until stomach-stomach wall tunnel, It replaces stomach Qi ductus bursae every 2~March, replaces stoma every half a year.

The operation reduces patient's intragastric volume, so that patient is generated satiety less than daily feed, in conjunction with Nutriology Dept. system Fixed Appropriate dietary guide, to reach the therapeutic purposes of control weight.

Claims (5)

1. a kind of percutaneous stomach fistulization oral intragastric balloon embedded device, which is characterized in that the device includes air bag, and the air bag is opened Mouth end is connect with conduit, and the conduit includes inner catheter and outer catheter, and the inner catheter is balloon catheter, and the outer catheter is stomach The intersection of fistula catheter, the air bag and the conduit is equipped with mushroom head, the inlet end and steel ring or syringe of the conduit It is detachably connected.

2. a kind of percutaneous stomach fistulization oral intragastric balloon embedded device according to claim 1, which is characterized in that the air bag Pneumatic volume be 300-1000mL.

3. a kind of percutaneous stomach fistulization oral intragastric balloon embedded device according to claim 1, which is characterized in that the conduit It is upper to have scale.

4. a kind of percutaneous stomach fistulization oral intragastric balloon embedded device according to claim 1, which is characterized in that the air bag Conduit is tapered far from one end of air bag.

5. a kind of percutaneous stomach fistulization oral intragastric balloon embedded device according to claim 1, which is characterized in that the conduit External fixator is equipped between the syringe.