手术胃造口术与经皮内镜下胃造口术的比较。

Comparison of operative gastrostomy with percutaneous endoscopic gastrostomy.

作者信息

Samii A M, Suguitan E A

机构信息

Surgical Service, Veterans Administration Medical Center, Altoona, PA 16603.

出版信息

Mil Med. 1990 Nov;155(11):534-5.

PMID:2126853

Abstract

The purpose of this study was to review our experience with 83 operative gastrostomies (OG) and 51 percutaneous endoscopic gastrostomies (PEG) and assess the advantage of one procedure over the other. The overall complication rate for the OG group was 30% with three cases of gastrocutaneous fistula. The overall complication rate for the PEG group was 24%. The 30-day mortality for OG was 7% and for PEG, 10%. We conclude that both OG and PEG are effective methods of enteral access. No gastrocutaneous fistulas developed in patients who underwent PEG. In our experience, no statistically significant difference was noted in morbidity and mortality of either group.

摘要

本研究的目的是回顾我们对83例手术胃造口术（OG）和51例经皮内镜胃造口术（PEG）的经验，并评估一种手术相对于另一种手术的优势。OG组的总体并发症发生率为30%，有3例发生胃皮肤瘘。PEG组的总体并发症发生率为24%。OG的30天死亡率为7%，PEG为10%。我们得出结论，OG和PEG都是有效的肠内通路建立方法。接受PEG的患者未发生胃皮肤瘘。根据我们的经验，两组在发病率和死亡率方面均未发现统计学上的显著差异。