经皮内镜下胃造口术和空肠造口术的临床价值

[Clinical value of percutaneous endoscopic gastrostomy and jejunostomy].

作者信息

Yao Li-qing, Zhong Yun-shi, Gao Wei-dong, Zhou Ping-hong, He Guo-jie, Xu Mei-dong, Zhang Yi-qun, Chen Wei-feng

机构信息

Endoscopy Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2005 Sep;8(5):413-5.

PMID:16224655

Abstract

OBJECTIVE

To investigate the feasibility and safety of percutaneous endoscopic gastrostomy (PEG) and percutaneous endoscopic jejunostomy(PEJ).

METHODS

From June 1996 to April 2005, clinical data of 121 patients treated with PEG or PEJ were analyzed retrospectively.

RESULTS

A total of 121 patients experienced 134 times of PEG or PEG plus PEJ, including 90 cases (103 times) treated with PEG and 31 patients treated with PEG plus PEJ. Thirteen patients treated with PEG had fistula replacement 6-10 months after PEG. All patients had quick nutrition recovery after fistula tube insert,therefore parenteral nutrition was not required. No severe complications occurred in all patients after 10 months of following-up. Four patients had subcutaneous infection around fistula 4-10 days after PEG.

CONCLUSION

PEG and PEJ are safe and new methods for gastrointestinal decompression and enteral nutrition, which can be substitutes for nasogastric tube.

摘要

目的

探讨经皮内镜下胃造口术（PEG）和经皮内镜下空肠造口术（PEJ）的可行性及安全性。

方法

回顾性分析1996年6月至2005年4月期间121例行PEG或PEJ治疗患者的临床资料。

结果

121例患者共接受134次PEG或PEG联合PEJ治疗，其中90例（1旦3次）接受PEG治疗，31例接受PEG联合PEJ治疗。13例接受PEG治疗的患者在PEG术后6 - 10个月进行了造瘘管更换。所有患者在插入造瘘管后营养恢复迅速，因此无需肠外营养。随访10个月后，所有患者均未发生严重并发症。4例患者在PEG术后4 - 10天出现造瘘口周围皮下感染。