Gay F, el Nawar A, Van Gossum A
Department of Gastroenterology, Hôpital Erasme, Brussels, Belgium.
Acta Gastroenterol Belg. 1992 May-Jun;55(3):285-94.
From March 87 to March 92, fifty eight patients were referred to our department for percutaneous endoscopic gastrostomy (PEG). The modality of the feeding tube insertion is described. The most common indications for placement were neurologic disorders in 62% of the cases (n = 36) and malignant diseases in 32% (n = 19). The success rate of the technique was 98.3% (n = 57). No procedure-related mortality was observed. A low rate of major complication (1.7%) and minor complication (10.5%) was noted. Feeding tubes were removed in 21% of patients (n = 12); none of them with malignant disease. Survival curve analysis demonstrated that 50% of patients died within 3 months of PEG placement. Such results raise questions about the selection of patients undergoing PEG. Our experience of patients undergoing PEG. Our experience suggests that PEG is easy and safe, even in debilitated patients, having an acceptable life expectancy.
从1987年3月至1992年3月，58例患者被转诊至我科行经皮内镜下胃造口术（PEG）。描述了饲管插入方式。置管最常见的适应证为神经疾病，占62%（n = 36），恶性疾病占32%（n = 19）。该技术成功率为98.3%（n = 57）。未观察到与操作相关的死亡。注意到主要并发症发生率低（1.7%），次要并发症发生率为（10.5%）。21%的患者（n = 12）拔除了饲管；其中没有恶性疾病患者。生存曲线分析表明，50%的患者在PEG置管后3个月内死亡。这些结果引发了关于接受PEG治疗患者选择的问题。我们对接受PEG治疗患者的经验。我们的经验表明，即使对于预期寿命可接受的虚弱患者，PEG也是简单且安全的。
