Patwardhan Nitin, McHugh Kieran, Drake David, Spitz Lewis
Department of Paediatric Surgery, Great Ormond Street Hospital NHS Trust, London, England, UK.
J Pediatr Surg. 2004 Apr;39(4):561-4. doi: 10.1016/j.jpedsurg.2003.12.018.
Gastroenteric fistula occurs in 2% to 3% of patients undergoing percutaneous endoscopic gastrostomy (PEG). The authors identified 12 children with this major complication.
A retrospective case note review was performed.
Over a 5-year period, the complication rate for gastroenteric fistula was 3.5% (12 of 343 procedures). Presentation ranged from 1 day to 25 months post-PEG insertion. Eight patients presented with acute intestinal obstruction. The gastroenteric fistulous tract involved the posterior wall of the stomach in all cases. The plain abdominal x-ray was useful in establishing the diagnosis of the gastroenteric fistula.
Patients with gastroenteric fistula as a complication of PEG insertion can remain asymptomatic for prolonged periods. It often is difficult to make the diagnosis. A plain abdominal x-ray is a useful diagnostic modality.
经皮内镜下胃造口术（PEG）患者中，胃肠瘘的发生率为2%至3%。作者识别出12例患有这种主要并发症的儿童。
进行了一项回顾性病例记录审查。
在5年期间，胃肠瘘的并发症发生率为3.5%（343例手术中有12例）。发病时间为PEG置入后1天至25个月。8例患者表现为急性肠梗阻。所有病例中，胃肠瘘管均累及胃后壁。腹部平片对胃肠瘘的诊断有帮助。
作为PEG置入并发症的胃肠瘘患者可能长时间无症状。通常很难做出诊断。腹部平片是一种有用的诊断方法。
