Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Gut Liver. 2010 Sep;4 Suppl 1(Suppl 1):S25-31. doi: 10.5009/gnl.2010.4.S1.S25. Epub 2010 Sep 10.
Gastrostomy placement for nutritional support for patients with inadequate oral intake has been attempted using surgical, endoscopic, and, more recently, percutaneous radiologically guided methods. Surgical gastrostomy has been superseded by both endoscopic and radiologic gastrostomy. We describe herein the indications, contraindications, patient preparations, techniques, complications, and aftercare with regard to radiologic gastrostomy. In addition, we discuss the available tube types and their perceived advantages. There remain some controversies regarding gastropexy performance and primary percutaneous gastrojejunostomy. Percutaneous jejunostomy is indicated for patients whose stomach is inaccessible for gastrostomy placement or for those who have had a previous gastrectomy.
经皮放射引导下胃造口术用于不能经口摄入足够营养的患者的营养支持已经尝试过使用手术、内镜和最近的经皮放射引导方法。外科胃造口术已经被内镜和放射学胃造口术所取代。我们在此描述了放射学胃造口术的适应证、禁忌证、患者准备、技术、并发症和后续护理。此外，我们还讨论了可用的管类型及其优势。胃固定术和经皮胃空肠吻合术仍存在一些争议。经皮空肠造口术适用于胃无法进行胃造口术或曾经进行过胃切除术的患者。
