在哪些情况下，手术胃造口术和空肠造口术是不可避免的？

In which cases surgical gastrostomy and jejunostomy techniques are inevitable?

作者信息

Bora Yilmaz K, Dogan L, Akinci M, Atalay C, Karaman N, Canoler O, Ozaslan C, Kulacoglu H

机构信息

Department of General Surgery, Ankara Diskapi Training and Research Hospital, Ankara, Turkey.

出版信息

J BUON. 2013 Jul-Sep;18(3):708-12.

PMID:24065487

Abstract

PURPOSE

This study investigated the surgical gastrostomy and jejunostomy procedures in cancer patients who needed nutritional support and endoscopy was unattainable.

METHODS

Operation time and procedure, anesthesia and tube types, procedure-specific and surgical complications, and tube replacement at the follow up period were retrospectively analyzed.

RESULTS

109 patients (44 female, 65 male, mean age 50.9 years, range 14-87) were subjected to surgical gastrostomy/ jejunostomy. Ninety-three (85.4%) patients had head-neck and gastrointestinal cancers. In 94 (86.2%) patients endoscopy was impossible due to obstruction of the esophagus and stomach. Gastrostomy/jejunostomy was combined with other surgical procedures in 12 (11 %) patients. Procedure- related complications occurred in 22 (20.7%) patients. Early 30-day mortality occurred in 12 (11 %) cases. The median follow up period was 3.6 months (range 0-18).

CONCLUSION

Obstructing cancer, obesity or previous laparotomy make the use of endoscopic techniques impossible. For these patients, surgical gastrostomy/jejunostomy is safe with acceptable complication rates and improves the treatment outcomes with nutritional support.

摘要

目的

本研究调查了在需要营养支持但无法进行内镜检查的癌症患者中实施手术胃造口术和空肠造口术的情况。

方法

回顾性分析手术时间和步骤、麻醉方式和导管类型、特定手术和手术并发症以及随访期间的导管更换情况。

结果

109例患者（44例女性，65例男性，平均年龄50.9岁，范围14 - 87岁）接受了手术胃造口术/空肠造口术。93例（85.4%）患者患有头颈癌和胃肠道癌。94例（86.2%）患者因食管和胃梗阻无法进行内镜检查。12例（11%）患者的胃造口术/空肠造口术与其他外科手术联合进行。22例（20.7%）患者发生了与手术相关的并发症。12例（11%）患者在术后30天内发生早期死亡。中位随访期为3.6个月（范围0 - 18个月）。