CN210933365U - Special inflatable stomach guiding tube for weight-reducing metabolic surgery - Google Patents

Special inflatable stomach guiding tube for weight-reducing metabolic surgery Download PDF

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Publication number
CN210933365U
CN210933365U CN201920443531.6U CN201920443531U CN210933365U CN 210933365 U CN210933365 U CN 210933365U CN 201920443531 U CN201920443531 U CN 201920443531U CN 210933365 U CN210933365 U CN 210933365U
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stomach
gastric
tube
sleeve
shaped
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CN201920443531.6U
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褚薛慧
孙喜太
单晓东
邓玲
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Nanjing Drum Tower Hospital
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Nanjing Drum Tower Hospital
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Abstract

The utility model relates to an inflatable gastric guiding tube special for weight-reducing metabolic surgery, which comprises a gastric tube body, a sleeve-shaped gastric air inlet tube, a sleeve-shaped gastric air bag, a gastric bypass air inlet tube, a gastric bypass air bag, a side hole and a gastric tube plug; the stomach tube body is a hollow pipeline, one end of the stomach tube body is a smooth blunt-shaped closed end, and the other end of the stomach tube body is an open tube opening; the sleeve-shaped gastric air bag surrounds the gastric tube body, and is of a cylindrical structure after being inflated; the stomach diversion air bag wraps the closed end of the stomach tube and is of a spherical structure after being inflated. The utility model discloses when losing weight metabolism operation, the accessible syringe is at stomach tube stopper department suction, with gastric juice from the side opening suction to it is inseparabler to make stomach wall tissue and guiding tube laminating.

Description

Special inflatable stomach guiding tube for weight-reducing metabolic surgery
Technical Field
The utility model relates to the technical field of medical equipment, concretely relates to subtract dedicated gas-filled nature stomach guiding tube of heavy metabolism operation.
Background
With the improvement of living standard of people, the prevalence rate of obesity is increasing at an incredible speed, and the prevalence rate of obesity is becoming an important problem threatening the health and life quality of people. The weight-reducing metabolic operation which is emerging in recent years becomes the only method for obtaining long-term and stable weight-reducing curative effect for the obesity patients, and also becomes the most effective treatment means for the obesity-related metabolic diseases. Weight-loss metabolic surgery mainly includes two main categories of laparoscopic sleeve gastrectomy and laparoscopic gastric bypass surgery, and although the surgery modes are different, the common core procedure is stomach cutting, and the size of the residual stomach pouch volume largely determines the incidence of postoperative complications and the long-term weight-loss effect. In order to quantify and homogenize the volume of the residual stomach pouch, a Bougie tube is generally used as a guide tube for cutting the stomach body clinically at present. However, the conventional gastric guide tube has several problems: 1. the shapes and volumes of gastric sacs reserved in laparoscopic sleeve gastrectomy and gastric bypass surgery are different, so that two different guide tubes are clinically needed for guidance. 2. The guide tube diameter that adopts at present is very thick, and the texture is harder, and the clinical common intubate leads to complication such as esophagus rupture, hemorrhage, blood pressure decline etc. (the literature: yangjian Jun, Zhu Qiang, Song Zhi Cheng, etc. analysis and countermeasures of the cause of esophageal rupture caused by Bougie tube in weight-loss surgery [ J ]. electronic journal of Chinese obesity and metabolic diseases, 2015, 1(1):50-52 ]. Therefore, the development of a novel gastric guiding tube is urgently needed in clinic to overcome the defects.
SUMMERY OF THE UTILITY MODEL
The utility model aims at providing a novel stomach guiding tube, which integrates two stomach guiding tubes used in the stomach diversion operation and the sleeve gastrectomy under the laparoscope into a whole and is universal for the weight-reducing metabolic operation. Meanwhile, the guiding tube plays a guiding role by adopting an air bag inflation mode, so that the diameter of the tube is greatly reduced, and the safety and the operability of the intubation tube are improved.
In order to solve the technical problem, the utility model provides a technical scheme is:
an inflatable stomach guiding tube special for weight-loss metabolic surgery comprises a stomach tube body, a sleeve-shaped stomach air inlet tube, a sleeve-shaped stomach air bag, a stomach diversion air inlet tube, a stomach diversion air bag, a side hole and a stomach tube plug;
the stomach tube body is a hollow pipeline, one end of the stomach tube body is a smooth blunt-shaped closed end, and the other end of the stomach tube body is an open tube opening; the sleeve-shaped gastric air bag surrounds the gastric tube body, and is of a cylindrical structure after being inflated; the gastric diversion air bag wraps the closed end of the gastric tube and is of a spherical structure after being inflated; the sleeve-shaped stomach air inlet pipe is positioned in the side wall of the stomach tube body, one end of the sleeve-shaped stomach air inlet pipe is connected with the sleeve-shaped stomach air inlet, and the other end of the sleeve-shaped stomach air inlet pipe is opened in the sleeve-shaped stomach air bag; the stomach diversion air inlet pipe is positioned in the side wall of the stomach tube body, one end of the stomach diversion air inlet pipe is connected with the stomach diversion air inlet, and the other end of the stomach diversion air inlet pipe is opened in the stomach diversion air bag; the sleeve-shaped stomach air inlet pipe and the stomach turning air inlet pipe are both one-way air inlet pipes with valves;
a side hole is arranged on the stomach tube body between the sleeve-shaped stomach air bag and the stomach diversion air bag; the opening tube opening of the stomach tube body is provided with a stomach tube plug, and the stomach tube plug can be connected with an injector.
Furthermore, the length of the gastric tube body is 100-150 cm, and the tube diameter of the gastric tube body is 14-18F.
Preferably, the length of the gastric tube body is 120 centimeters, and the tube diameter of the gastric tube body is 16F.
The length of the gastric bypass balloon is 4 cm, and the volume of the gastric bypass balloon is 30 ml after inflation.
The length of the sleeve-shaped gastric balloon is 15-25 cm, the sleeve-shaped gastric balloon is a cylinder after being inflated, and the diameter of the inflated sleeve-shaped gastric balloon is 34-40F.
Preferably, the length of the sleeve-shaped gastric balloon is 20 cm, and the tube diameter after inflation is 38F.
The side hole is circular, and the diameter of the side hole is 2-3 mm; the side hole occupies 5 cm of the stomach tube body.
Preferably, the diameter of the side hole is 3 mm.
The stomach tube body is made of TPU or PVC.
Has the advantages that:
the utility model discloses when carrying out peritoneoscope stomach diversion art, inflate in toward stomach diversion gasbag through stomach diversion air inlet, make stomach diversion gasbag volume keep at about 30 milliliters to the homogeneity of size when guaranteeing the stomach bag and cutting. The utility model discloses when carrying out peritoneoscope sleeve form gastrectomy, inflate to sleeve form stomach gasbag through sleeve form stomach air inlet, make the pipe diameter of sleeve form stomach gasbag reach about 38F to the homogeneity of size when guaranteeing sleeve form stomach cutting. The utility model discloses when losing weight metabolism operation, the accessible syringe is at stomach tube stopper department suction, with gastric juice from the side opening suction to it is inseparabler to make stomach wall tissue and guiding tube laminating.
Drawings
Fig. 1 is a schematic structural view of the gastric guiding tube of the present invention.
Fig. 2 is a schematic diagram of the laparoscopic sleeve gastrectomy performed according to the present invention.
FIG. 3 is a schematic view of the present invention in the practice of performing a laparoscopic gastric bypass procedure.
In the figure: 1-sleeve-shaped stomach air inlet, 2-sleeve-shaped stomach air inlet pipe, 3-sleeve-shaped stomach air bag, 4-side hole, 5-stomach tube plug, 6-stomach diversion air inlet, 7-stomach diversion air inlet pipe, 8-stomach tube body and 9-stomach diversion air bag.
Detailed Description
The present invention will be further described with reference to the following specific embodiments.
Referring to fig. 1-3, the inflatable gastric guiding tube special for the weight-reducing metabolic surgery comprises a gastric tube body 8, a sleeve-shaped gastric air inlet 1, a sleeve-shaped gastric air inlet tube 2, a sleeve-shaped gastric air bag 3, a gastric bypass air inlet 6, a gastric bypass air inlet tube 7, a gastric bypass air bag 9, a side hole 4 and a gastric tube plug 5.
The stomach tube body 8 is a hollow pipeline, one end of the stomach tube body is a smooth blunt-shaped closed end, and the other end of the stomach tube body is an open tube opening; the sleeve-shaped gastric air bag 3 surrounds the gastric tube body, and the sleeve-shaped gastric air bag 3 is of a cylindrical structure after being inflated; the gastric diversion air bag 9 wraps the closed end of the gastric tube and is of a spherical structure after being inflated; the sleeve-shaped stomach air inlet pipe 2 is positioned in the side wall of the stomach tube body 8, one end of the sleeve-shaped stomach air inlet pipe is connected with the sleeve-shaped stomach air inlet 1, and the other end of the sleeve-shaped stomach air inlet pipe is opened in the sleeve-shaped stomach air bag 3; the gastric bypass air inlet pipe 7 is positioned in the side wall of the gastric tube body 8, one end of the gastric bypass air inlet pipe is connected with the gastric bypass air inlet 6, and the other end of the gastric bypass air inlet pipe is opened in the gastric bypass air bag 9; the sleeve-shaped stomach air inlet pipe 2 and the stomach rotational flow air inlet pipe 7 are both one-way air inlet pipes with valves;
a side hole 4 is arranged on the stomach tube body 8 between the sleeve-shaped stomach air bag 3 and the stomach diversion air bag 9; the opening tube opening of the stomach tube body 8 is provided with a stomach tube plug 5, and the stomach tube plug 5 can be connected with an injector.
In this embodiment, the length of the gastric tube body 8 is 100-150 cm, and the tube diameter of the gastric tube body 8 is 14-18F.
Preferably, the length of the gastric tube body 8 is 120 cm, and the tube diameter of the gastric tube body 8 is 16F.
In this embodiment, the gastric bypass balloon 9 is 4 cm in length and 30 ml in volume after inflation.
In the embodiment, the length of the sleeve-shaped gastric airbag 3 is 15-25 cm, the sleeve-shaped gastric airbag 3 is a cylinder after being inflated, and the diameter of the inflated cylinder is 34-40F.
Preferably, the length of the sleeve-shaped gastric balloon 3 is 20 cm, and the tube diameter after inflation is 38F.
In the embodiment, the side hole 4 is circular, and the diameter is 2-3 mm; the side hole 4 occupies 5 cm of the gastric tube body 8.
Preferably, the diameter of the side hole is 3 mm.
In this embodiment, the stomach tube body is made of TPU or PVC.
Laparoscopic sleeve gastrectomy procedure:
1. the stomach tube body 8 is inserted into the stomach along the esophagus of a patient through the oral cavity, and then clings to the lesser curvature of the stomach, and the stomach tube is further inserted into the pylorus. The gastric tube plug 5 is externally connected with an injector or an aspirator, and gastric juice and gas are pumped out from the side hole 4.
2. Inflating the sleeve-shaped stomach air inlet 1 by using an injector, enabling the air to enter the sleeve-shaped stomach air bag 3 through the sleeve-shaped stomach air inlet pipe 2, and finally enabling the diameter of the air bag to be 38F after the air is filled.
3. The gastric sleeve is cut along the inflated gastric sleeve 3 with a linear cutting obturator.
4. After the cutting is finished, physiological saline is injected into the stomach tube from the stomach tube plug 5, and whether a fistula exists in the detection section.
5. After the detection is finished, the gas in the sleeve-shaped gastric air bag 3 is pumped out from the sleeve-shaped gastric air inlet 1, and finally the gastric guide tube is pulled out.
The implementation process of the laparoscopic gastric bypass comprises the following steps:
1. the stomach tube body 8 is inserted into the stomach along the esophagus of a patient through the oral cavity, the stomach tube plug 5 is externally connected with an injector or a suction apparatus, and the gastric juice and the gas are sucked out from the side hole 4.
2. Inflating at a gastric shunt air inlet 6 by using an injector, enabling air to enter a gastric shunt air bag 9 through a gastric shunt air inlet pipe 7, enabling the air bag to become a sphere with the volume of about 30 milliliters after the air is filled, and slightly pumping back a gastric tube 8 to enable the inflatable air bag to be tightly attached to the cardia.
3. The incision of the small gastric pouch is made with a linear incision closure along the inflated gastric bypass balloon 9.
4. After the cutting is finished, the gas in the gastric bypass air bag 9 is pumped out from the gastric bypass air inlet 6, and finally the gastric guide tube is pulled out.
The above description is only the preferred embodiment of the present invention, and is not intended to limit the present invention in any form, and any skilled person familiar with the art will not depart from the technical scope of the present invention, and the technical spirit of the present invention will be any simple modification, equivalent replacement, and improvement made by the above embodiments, and the like, all still belong to the technical scope of the present invention.

Claims (9)

1. An inflatable stomach guiding tube special for weight-reducing metabolic surgery is characterized in that: comprises a stomach tube body, a sleeve-shaped stomach air inlet tube, a sleeve-shaped stomach air bag, a stomach diversion air inlet tube, a stomach diversion air bag, a side hole and a stomach tube plug;
the stomach tube body is a hollow pipeline, one end of the stomach tube body is a smooth blunt-shaped closed end, and the other end of the stomach tube body is an open tube opening; the sleeve-shaped gastric air bag surrounds the gastric tube body, and is of a cylindrical structure after being inflated; the gastric diversion air bag wraps the closed end of the gastric tube and is of a spherical structure after being inflated; the sleeve-shaped stomach air inlet pipe is positioned in the side wall of the stomach tube body, one end of the sleeve-shaped stomach air inlet pipe is connected with the sleeve-shaped stomach air inlet, and the other end of the sleeve-shaped stomach air inlet pipe is opened in the sleeve-shaped stomach air bag; the stomach diversion air inlet pipe is positioned in the side wall of the stomach tube body, one end of the stomach diversion air inlet pipe is connected with the stomach diversion air inlet, and the other end of the stomach diversion air inlet pipe is opened in the stomach diversion air bag; the sleeve-shaped stomach air inlet pipe and the stomach turning air inlet pipe are both one-way air inlet pipes with valves;
a side hole is arranged on the stomach tube body between the sleeve-shaped stomach air bag and the stomach diversion air bag; the opening tube opening of the stomach tube body is provided with a stomach tube plug, and the stomach tube plug can be connected with an injector.
2. The weight-loss metabolic surgery dedicated inflatable gastric guide tube according to claim 1, wherein: the length of the stomach tube body is 100-150 cm, and the tube diameter of the stomach tube body is 14-18F.
3. The weight-loss metabolic surgery dedicated inflatable gastric guide tube according to claim 2, wherein: the length of stomach tube body is 120 centimetres, the pipe diameter of stomach tube body is 16F.
4. The weight-loss metabolic surgery dedicated inflatable gastric guide tube according to claim 1, wherein: the length of the gastric bypass balloon is 4 cm, and the volume of the gastric bypass balloon is 30 ml after inflation.
5. The weight-loss metabolic surgery dedicated inflatable gastric guide tube according to claim 1, wherein: the length of the sleeve-shaped gastric balloon is 15-25 cm, the sleeve-shaped gastric balloon is a cylinder after being inflated, and the diameter of the inflated sleeve-shaped gastric balloon is 34-40F.
6. The weight-loss metabolic surgery dedicated inflatable gastric guide tube according to claim 5, wherein: the length of the sleeve-shaped gastric balloon is 20 cm, and the tube diameter after inflation is 38F.
7. The weight-loss metabolic surgery dedicated inflatable gastric guide tube according to claim 1, wherein: the side hole is circular, and the diameter of the side hole is 2-3 mm; the side hole occupies 5 cm of the stomach tube body.
8. The weight-loss metabolic surgery dedicated inflatable gastric guide tube according to claim 7, wherein: the diameter of the side hole is 3 mm.
9. The weight-loss metabolic surgery dedicated inflatable gastric guide tube according to claim 1, wherein: the stomach tube body is made of TPU or PVC.
CN201920443531.6U 2019-04-03 2019-04-03 Special inflatable stomach guiding tube for weight-reducing metabolic surgery Active CN210933365U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201920443531.6U CN210933365U (en) 2019-04-03 2019-04-03 Special inflatable stomach guiding tube for weight-reducing metabolic surgery

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201920443531.6U CN210933365U (en) 2019-04-03 2019-04-03 Special inflatable stomach guiding tube for weight-reducing metabolic surgery

Publications (1)

Publication Number Publication Date
CN210933365U true CN210933365U (en) 2020-07-07

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ID=71384866

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201920443531.6U Active CN210933365U (en) 2019-04-03 2019-04-03 Special inflatable stomach guiding tube for weight-reducing metabolic surgery

Country Status (1)

Country Link
CN (1) CN210933365U (en)

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