Gençosmanoglu Rasim, Koç Demet, Tözün Nurdan
Surgical Unit, School of Medicine, Marmara University, Istanbul, Turkey.
Hepatogastroenterology. 2003 May-Jun;50(51):886-8.
BACKGROUND/AIMS: Percutaneous endoscopic gastrostomy is one of the gastrostomy methods used for patients who are unable to take food orally. We aimed to present our results for percutaneous endoscopic gastrostomy.
One hundred and fifteen patients undergoing percutaneous endoscopic gastrostomy by pull technique were retrospectively evaluated in terms of indications, complications, durability of tube, and mortality.
Of the 115 cases, 60 were males and 55 females with the median age of 67 (2-93) years. Indications for percutaneous endoscopic gastrostomy placement were cerebrovascular accident in 39, brain tumors in 24, subarachnoidal hemorrhage in 21, several neurologic disorders in 17, miscellaneous extracerebral tumors in 6, head injury in 5, hypoxic encephalopathy in 2, and iatrogenic in 1. The durability of the tube was a median of 242 (9-1988) days. The tube was removed in 16 patients and was changed in 11 patients with a median interval of 142.5 (35-427) and 133 (24-1251) days, respectively. Four wound infections, two buried bumper syndromes, and two aspiration pneumonias developed. Total follow-up was 114.1 patient-years with procedure-related mortality, 30-day mortality, and overall mortality of 0%, 3.5% (4/115), and 17.4% (20/115), respectively. The mortality rate was 45% for patients who had brain tumor and 11.6% for the remainder.
Percutaneous endoscopic gastrostomy is a minimally invasive gastrostomy method with low morbidity and mortality rates, easy to follow-up, and easy to replace when clogged.
背景/目的：经皮内镜下胃造口术是用于无法经口进食患者的胃造口术方法之一。我们旨在展示经皮内镜下胃造口术的结果。
对115例行牵拉技术经皮内镜下胃造口术的患者进行回顾性评估，内容包括适应证、并发症、造瘘管耐用性及死亡率。
115例患者中，男性60例，女性55例，中位年龄67（2 - 93）岁。经皮内镜下胃造口术的适应证为：39例脑血管意外、24例脑肿瘤、21例蛛网膜下腔出血、17例多种神经系统疾病、6例其他脑外肿瘤、5例头部损伤、2例缺氧性脑病、1例医源性因素。造瘘管耐用时间中位值为242（9 - 1988）天。16例患者拔除了造瘘管，11例患者更换了造瘘管，更换间隔时间中位值分别为142.5（35 - 427）天和133（24 - 1251）天。发生了4例伤口感染、2例埋藏式胃造口管综合征和2例吸入性肺炎。总随访时间为114.1患者年，与手术相关的死亡率、30天死亡率和总死亡率分别为0%、3.5%（4/115）和17.4%（20/115）。脑肿瘤患者的死亡率为45%，其余患者为11.6%。
经皮内镜下胃造口术是一种微创胃造口术方法，发病率和死亡率低，易于随访，堵塞时易于更换。
