Löser C
I. Medizinische Klinik, Christian-Albrechts-Universität, Schittenhelmstrasse, Germany.
J Nutr Health Aging. 2000;4(1):47-50.
Adequate enteral nutrition is a major medical goal in patients with inadequate oral food intake caused by various underlying diseases of benign and malignant origin. Due to its safe and technically simple route of placement the PEG has become the preferred enteral route of choice for enteral long-term nutrition world-wide. The incidence of PEG placement is still rapidly increasing. Based on the results of recently published large clinical studies the technical success rate is >99 % with a procedure-related lethal rate of about 0 %. Prospective clinical studies clearly prove the excellent individual subjective acceptance of this method by the patients. Indications, contra-indications, complications and technical procedures of PEG placement are described in detail in the present review. In general, long-term enteral feeding via PEG is accepted as a safe, effective, easy to practice and highly acceptable method with excellent long-term results and distinct improvement of nutritional status. Individual decisions for PEG placement should be considered much earlier and more frequently in appropriate patients to save and further improve quality of life in patients with inadequate oral food intake caused by various benign and malignant diseases.
对于因各种良性和恶性基础疾病导致经口食物摄入不足的患者，提供充足的肠内营养是一项主要的医学目标。由于经皮内镜下胃造口术（PEG）放置途径安全且技术操作简单，已成为全球肠内长期营养的首选途径。PEG放置的发生率仍在迅速上升。根据最近发表的大型临床研究结果，技术成功率>99%，与操作相关的致死率约为0%。前瞻性临床研究清楚地证明了患者对该方法的个体主观接受度很高。本综述详细描述了PEG放置的适应证、禁忌证、并发症和技术操作。一般来说，通过PEG进行长期肠内喂养被认为是一种安全、有效、易于实施且高度可接受的方法，具有出色的长期效果和营养状况的明显改善。对于因各种良性和恶性疾病导致经口食物摄入不足的患者，应更早、更频繁地考虑为合适的患者进行PEG放置的个体决策，以挽救并进一步提高其生活质量。
