Blocksom J M, Sugawa C, Tokioka S, Field E
Department of General Surgery, Wayne State University, 4201 St. Antoine, 6-UHC, Detroit, MI 48201, USA.
Surg Endosc. 2004 May;18(5):868-70. doi: 10.1007/s00464-003-4541-1. Epub 2004 Feb 2.
Percutaneous endoscopic gastrostomy (PEG) tube placement has become the preferred method of enteral feeding for many patients. Neurologic disease and cancer are the most frequent indications for PEG tube placement. PEG tubes are also becoming more frequent in trauma patients for early initiation of enteral feeding. Inadvertent PEG tube removal is a well-known complication of PEG tubes. Patients undergoing PEG tube placement are frequently malnourished and in poor general medical condition, making them relatively high risk for surgical intervention. In the past, after early inadvertent PEG removal, patients underwent laparotomy for surgical repair of the gastrostomy site. Recently, laparoscopic replacement of the PEG tube has been described. We present a new technique of endoscopic repair of the gastrostomy site with hemoclip placement followed by later PEG tube placement.
经皮内镜下胃造口术（PEG）置管已成为许多患者肠内营养的首选方法。神经系统疾病和癌症是PEG置管最常见的适应证。PEG管在创伤患者中也越来越频繁地用于早期肠内营养。PEG管意外拔除是PEG管一种众所周知的并发症。接受PEG置管的患者通常营养不良且全身状况较差，使其进行手术干预的风险相对较高。过去，在PEG管早期意外拔除后，患者需接受剖腹手术以修复胃造口部位。最近，已有腹腔镜下更换PEG管的报道。我们介绍一种内镜下用止血夹修复胃造口部位，随后再放置PEG管的新技术。
