NIM procedure for infusion in small intestine
The day before treatment
All antibiotics must be discontinued at least 24 hours prior to treatment.
No food after 8 pm the night before.
No use of mouthwash the night before.
The patient meets fasting from 8 pm the night before.
NIM is aspirated in a 50ml syringe with 18 G, 1.2 x 50 needle.
Gas insufflation with CO2 gas.
Before use, place the tube with NIM in a water bath at about 37 degrees for 20 minutes with the cork on. The NIM culture is anaerobic and must be exposed to oxygen as little as possible. The culture should have room temperature / body temperature before infusion.
NIM is deposited distal to papilla Vateri and distal to ev. biopsy place
Gastroscopy with possible biopsies (own procedure)
Rinse with 30 ml sterile and lukewarm saline.
The patient is observed after treatment
Can eat after 0.5 -1 hour.
Fever is very uncommon, but if the patient gets chills with a temperature rise above 38.5 degrees, the rheumatologist / physician should be consulted.
If sedation, the patient should not drive until the next day.
If infection is detected and antibiotics must be given, agents that do not reach or function in the gut (anaerobic environment) ex aminoglycosides should be given.
The patient may experience bloated and upset stomach during the first days after NIM.