Department of General, Visceral and Oncologic Surgery, Klinikum Bremen-Mitte, St.-Juergen-Strasse 1, Bremen, Germany.
Endoscopy. 2010 Oct;42(10):872-4. doi: 10.1055/s-0030-1255761. Epub 2010 Sep 30.
Percutaneous endoscopic gastrostomy (PEG) is used to restore enteral nutrition in patients with inadequate oral intake. Because of its minimally invasive nature complications are thought to be rare. We analyzed data on all patients treated for PEG-related complications at the Department of General, Visceral, and Oncologic Surgery at the Klinikum Bremen-Mitte, Germany, between 2005 and 2008. A total of 38 patients with complications required surgical evaluation. Emergency laparotomy was performed for leakage in 16 patients, for a misplaced or dislodged PEG tube in nine patients, for buried bumper with accompanying signs of peritonitis in four patients and for gastrocutaneous fistula in one patient. Eight complications were managed conservatively. Early complications within 10 days (60 %) were related to leakage or mispositioning of the PEG, while PEG device migration and fistula formation represented late complications. Hospital mortality was 17 % with the underlying disease contributing significantly to the fatal outcome. Most PEG-associated major complications were related to technical errors and carried a high mortality.
经皮内镜胃造口术（PEG）用于恢复摄入不足的患者的肠内营养。由于其微创性质，并发症被认为很少见。我们分析了德国 Bremen-Mitte 综合医院普外科、内脏外科和肿瘤外科在 2005 年至 2008 年期间治疗所有与 PEG 相关并发症患者的数据。共有 38 名患者出现并发症需要手术评估。16 名患者因漏液行急诊剖腹手术，9 名患者因位置不当或移位的 PEG 管，4 名患者因带埋入式套垫的 bumper 且伴有腹膜炎体征，1 名患者因胃皮瘘而行手术。8 例并发症采用保守治疗。10 天内的早期并发症（60%）与 PEG 的渗漏或错位有关，而 PEG 装置迁移和瘘管形成则代表晚期并发症。住院死亡率为 17%，基础疾病对致命结局有重要影响。大多数与 PEG 相关的严重并发症与技术错误有关，死亡率很高。
