Use of a feeding tube to manage anastomotic stenosis after upper gastrointestinal surgerUse of a feeding tube to manage anastomotic stenosis after upper gastrointestinal surgerAN00067279 上部消化管吻合部狭窄に対する栄養チューブ（木村のチューブ）の効果 Use of a feeding tube to manage anastomotic stenosis after upper gastrointestinal surger
In cases of gastrointestinal (particularly gastroduodenal) anastomosis after total gastrectomy or distal gastrectomy, the anastomotic region may become stenotic just after operation for weeks, which can cause difficulty in eating or drinking and/or which may even cause vomiting. The Kimura’s tube allows the intestines to have a role in nutrition in such cases by administering nutritional food into them to be digested. Another advantage of this method is that when a thin Kimura’s tube (such as 8 French) placed in the anal intestine further than anastomotic region, that is, the tip of the tube is set beyond the anastomosis. It not only works as a stent to pass nutrients from the stomach to the other side of the anastomotic stenosis, but also gradually allows gastric juices to pass through around the tubes. Therefore, it gradually makes transfer of substances possible, such as water, albumin, granular ferric oxide, liquid food, and thin rice gruel. Further advantage is: The Kimura’s tube may never occur ileus, as compared to the prophylactic nutritional tube, directory inserted into the jejunum at the operation.