老年患者的经皮内镜下胃造口术
Percutaneous endoscopic gastrostomy in elderly patients.
作者信息
Finucane P, Aslan S M, Duncan D
机构信息
Department of Geriatric Medicine, Cardiff Royal Infirmary, UK.
出版信息
Postgrad Med J. 1991 Apr;67(786):371-3. doi: 10.1136/pgmj.67.786.371.
Abstract
Percutaneous endoscopic gastrostomy (PEG) was performed on 28 elderly patients (mean age 82 years) who were dysphagic and intolerant of naso-gastric feeding. Twenty-six patients were recovering from a stroke; the interval between the onset of stroke and PEG averaged 63 days. The procedure was successful and well tolerated by all patients. Nineteen (68%) still had a functioning PEG a median of 14 weeks after placement. One patient whose swallowing recovered had the tube removed 6 months after its insertion. Seven patients (25%) subsequently died from their underlying disease, a mean of 92 days following PEG. There was one procedure-related death from peritonitis. PEG is a useful alternative to surgical gastrostomy in selected elderly patients with dysphagia who are intolerant of naso-gastric feeding.
摘要
对28例吞咽困难且不耐受鼻胃管喂养的老年患者（平均年龄82岁）实施了经皮内镜下胃造口术（PEG）。26例患者正在从中风恢复；中风发作至PEG的间隔时间平均为63天。手术成功，所有患者耐受性良好。19例（68%）患者在置管后中位14周时PEG仍在发挥作用。1例吞咽功能恢复的患者在置管6个月后拔除了胃管。7例患者（25%）随后死于基础疾病，PEG术后平均92天。有1例因腹膜炎导致的与手术相关的死亡。对于选定的不耐受鼻胃管喂养的吞咽困难老年患者，PEG是外科胃造口术的一种有用替代方法。
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