So J B, Ackroyd F W
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, USA.
Singapore Med J. 1998 Dec;39(12):560-3.
Percutaneous Endoscopic Gastrostomy (PEG) is a relatively new method to deliver nutrition to patients with inadequate caloric intake who have a functionally intact gastrointestinal tract.
This is a retrospective review of 58 consecutive patients who were referred to the Surgical Endoscopy Unit, Massachusetts General Hospital for placement of PEG in 1996. The current indications, methods, and results of PEG will be discussed.
Of this series, all but one patient had the PEG successfully placed. Indications included head and neck cancer (29 patients); neurological disorders (21 patients); burns (3 patients); respiratory failure (2 patients), and aspirations (2 patients). Fifty-four percent of cases were performed with local anaesthesia. There was one complication (2%) with no procedural-related mortality.
PEG is an easy and safe procedure. It is a good alternative to provide enteral feeding in selected patients.
经皮内镜下胃造口术（PEG）是一种相对较新的为胃肠道功能完好但热量摄入不足的患者提供营养的方法。
这是一项对1996年连续58例转诊至麻省总医院外科内镜科接受PEG置管的患者的回顾性研究。将讨论PEG目前的适应证、方法和结果。
在该系列中，除1例患者外，所有患者的PEG均成功置入。适应证包括头颈癌（29例）；神经系统疾病（21例）；烧伤（3例）；呼吸衰竭（2例）和误吸（2例）。54%的病例在局部麻醉下进行。有1例并发症（2%），无与操作相关的死亡。
PEG是一种简单且安全的操作。它是为特定患者提供肠内营养的良好替代方法。
