[胃固定术支持的单步纽扣式胃造口术——经皮喂养管植入新技术的临床结果]
[Gastropexy supported single-step button gastrostomy - clinical results of a new technique for percutanous feeding tube implantation].
作者信息
Dormann A J, Aymaz S, Malfertheiner P
机构信息
Medizinische Klinik, Krankenhaus Holweide, Kliniken der Stadt Köln gGmbH, Akadem. Lehrkrankenhaus der Universität zu Köln, 51067 Köln.
出版信息
Z Gastroenterol. 2009 Aug;47(8):740-3. doi: 10.1055/s-0028-1109259. Epub 2009 Aug 6.
BACKGROUND
Skin-level gastrostomy devices have been established to maintain enteral nutrition in clinical practice. Unfortunately there is still a need for a second intervention to place the secondary system. The combination of a new introducer technique with endoscopic controlled gastropexy for PEG and the primary placement of a button system leads to a safe stomal fixation of the balloon device. The aim of this study was to evaluate for the first time the safety of this combined approach.
METHODS
Between 2000 and 2005 five patients were treated with this new technique and received a single-step button gastrostomy. All patients were followed with a standardised protocol.
RESULTS
No major complications were seen during follow-up. The system could be removed within 6 - 18 weeks without any problems.
CONCLUSIONS
On the basis of our first experience we conclude that by combination of the three techniques, introducer PEG with gastropexy, Seldinger wire, and balloon-type button, a single-step button gastrostomy can be safely performed.
背景
在临床实践中，已采用经皮内镜下胃造口术（PEG）装置来维持肠内营养。遗憾的是，放置辅助系统仍需进行二次干预。将一种新的导入器技术与用于PEG的内镜控制胃固定术以及纽扣系统的初次放置相结合，可实现球囊装置安全的造口固定。本研究的目的是首次评估这种联合方法的安全性。
方法
2000年至2005年间，5例患者采用这种新技术接受了单步纽扣式胃造口术。所有患者均按照标准化方案进行随访。
结果
随访期间未出现严重并发症。该系统可在6至18周内顺利取出。
结论
基于我们的首次经验，我们得出结论，通过将经皮内镜下胃造口术导入器与胃固定术、塞丁格导丝和球囊式纽扣这三种技术相结合，可安全地实施单步纽扣式胃造口术。
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