Sheehan J J, Hill A D K, Fanning N P, Healy C, McDermott E W, O'Donoghue D P, O'Higgins N J
Department of Surgery and Gastroenterology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Ir Med J. 2003 Oct;96(9):265-7.
Since Percutaneous Endoscopic Gastrostomy (PEG) feeding was introduced, 20 years ago it has been increasingly utilised in medical practice. The aim of this study was to assess the current indications and complications associated with PEG feeding. This study was a retrospective review of hospital charts dealing with PEG placement over a period of five years. The indications for insertion were, central nervous disease 76% (n = 156), other benign disease 14% (n = 28) and malignancy 10% (n = 21). Cerebrovascular accidents (CVA) alone accounted for 47% (n = 97). Ninety seven (50%) patients had minor complications, which included 43 (22%) wound infections. There were 6 (3%) major complications, including peritonitis, perforation and aspiration pneumonia. There were four deaths (2%) related to PEG placement, of whom three developed aspiration pneumonia and one peritonitis. The overall 30 day mortality rate was 16%. There was a 75% increase in the use of PEG placement over the five year period. PEG placements were associated with a 53% morbidity and a 2% procedure related mortality. There was a 16% 30 day mortality following PEG placement suggesting that the selection criteria for PEG placement may need to be refined further.
自经皮内镜下胃造口术（PEG）喂养20年前被引入以来，它在医学实践中的应用越来越广泛。本研究的目的是评估PEG喂养目前的适应证及相关并发症。本研究是对五年内接受PEG置管的医院病历进行的回顾性分析。置管适应证为：中枢神经系统疾病76%（n = 156），其他良性疾病14%（n = 28），恶性肿瘤10%（n = 21）。仅脑血管意外（CVA）就占47%（n = 97）。97例（50%）患者出现轻微并发症，其中43例（22%）为伤口感染。有6例（3%）严重并发症，包括腹膜炎、穿孔和吸入性肺炎。有4例（2%）死亡与PEG置管有关，其中3例发生吸入性肺炎，1例发生腹膜炎。30天总死亡率为16%。在五年期间，PEG置管的使用增加了75%。PEG置管的发病率为53%，与操作相关的死亡率为2%。PEG置管后30天死亡率为16%，这表明PEG置管的选择标准可能需要进一步完善。
