Beres Alana, Bratu Ioana, Laberge Jean-Martin
Division of Pediatric General Surgery, Montreal Children's Hospital of the McGill University Health Center, Montreal, Quebec, Canada.
Semin Pediatr Surg. 2009 May;18(2):87-92. doi: 10.1053/j.sempedsurg.2009.02.005.
Gastrostomy tubes are used in the pediatric population when long-term enteral feeding is needed. A common method of placement is percutaneously with endoscopy (PEG, percutaneous endoscopic gastrostomy). Although PEG placement is a straightforward procedure most of the time, it can be associated with a significant rate of minor complications and a smaller but significantly important rate of major complications. Some of these complications may also occur after any type of gastrostomy. We will present representative case studies outlining major complications and discuss how we may be able to prevent them at the time of PEG insertion or during PEG to low-profile button gastrostomy exchange. The proposed guidelines apply to all types of gastrostomies.
当需要长期肠内喂养时，胃造口管用于儿科患者。一种常见的放置方法是通过内镜经皮放置（PEG，经皮内镜下胃造口术）。虽然PEG放置在大多数情况下是一个简单的操作，但它可能伴有较高的轻微并发症发生率，以及较低但显著的严重并发症发生率。其中一些并发症也可能发生在任何类型的胃造口术后。我们将展示概述严重并发症的代表性病例研究，并讨论在PEG插入时或从PEG转换为低轮廓纽扣式胃造口术期间如何预防这些并发症。所提议的指南适用于所有类型的胃造口术。
