Halkier B K, Ho C S, Yee A C
Department of Radiology, Toronto General Hospital, Ontario, Canada.
Radiology. 1989 May;171(2):359-62. doi: 10.1148/radiology.171.2.2495560.
Over a period of 60 months, percutaneous nonendoscopic gastrostomy for enteral feeding was successfully performed with the Seldinger technique in 250 of 252 consecutive patients. Local anesthetics alone (without intravenous sedatives) were used in 248 patients (98%). The 30-day mortality was 14.2% and included two procedure-related deaths (0.8%). Major complications necessitating surgery occurred in three patients (1.2%), and one patient had a major gastrointestinal hemorrhage (0.4%) treated medically. Minor complications occurred in 4.4% of patients. The results compare favorably with those found with alternative techniques (surgical or endoscopic) for gastrostomy. The authors conclude that this procedure is simple, is relatively safe, and represents a preferred method of gastrostomy for enteral feeding.
在60个月的时间里，采用Seldinger技术对252例连续患者中的250例成功实施了经皮非内镜下胃造口术以进行肠内喂养。248例患者（98%）仅使用了局部麻醉剂（未使用静脉镇静剂）。30天死亡率为14.2%，其中包括2例与操作相关的死亡（0.8%）。3例患者（1.2%）出现需要手术处理的严重并发症，1例患者发生严重胃肠道出血（0.4%），经药物治疗。4.4%的患者出现轻微并发症。与胃造口术的其他技术（手术或内镜技术）相比，这些结果更具优势。作者得出结论，该操作简单、相对安全，是肠内喂养胃造口术的首选方法。
