Carmona-Sánchez Ramón, Navarro-Cano Gregorio
Servicio de Gastroenterología, Hospital Central Dr. Ignacio Morones Prieto, San Luis Potosí, S.L.P.
Rev Gastroenterol Mex. 2002 Jan-Mar;67(1):6-10.
Percutaneous endoscopic gastrostomy (PEG) is a simple procedure with few associated complications. Traditionally, diet can be initiated 24 after the placement of the probe, but there is no information concerning safety with immediate feeding.
To compare safety of immediate feeding against late feeding after placement of PEG.
A total of 62 patients referred for placement of a PEG were assigned alternatively to start feeding during the first 30 min after the procedure was finished (group A), or 24 h later (group B). All patients received the same formula and remained hospitalized for three days. During follow-up, data for local infection and mild or severe complications were intentionally sought.
Each group was composed of 31 patients; both groups were similar in age, gender, indication for placement of PEG, presence of infections, and use of antibiotics. Two patients of group A and six of group B developed local infections (six vs. 19%, p = NS value). Mild complications were found in three patients of group A and two A of group B (10 vs. 6%, p = NS). Severe complications were found in one patient of group A and two of group B (3 vs. 6%, p = NS).
Immediate feeding after placement of a PEG is a safe practice.
经皮内镜下胃造口术（PEG）是一种操作简单且并发症较少的手术。传统上，在置入探头后24小时可开始进食，但关于立即进食的安全性尚无相关信息。
比较PEG置入后立即进食与延迟进食的安全性。
共有62例因需置入PEG而转诊的患者被交替分配至在手术结束后的前30分钟内开始进食（A组），或在24小时后开始进食（B组）。所有患者均接受相同的配方饮食，并住院三天。在随访期间，有意收集局部感染及轻度或重度并发症的数据。
每组由31例患者组成；两组在年龄、性别、PEG置入指征、是否存在感染以及抗生素使用情况方面相似。A组有2例患者，B组有6例患者发生局部感染（6%对19%，p = 无统计学意义）。A组有3例患者，B组有2例患者出现轻度并发症（10%对6%，p = 无统计学意义）。A组有1例患者，B组有2例患者出现重度并发症（3%对6%，p = 无统计学意义）。
PEG置入后立即进食是一种安全的做法。
