Mamel J J
Division of Digestive Diseases and Nutrition, College of Medicine, University of South Florida, Tampa.
Am J Gastroenterol. 1989 Jul;84(7):703-10.
The development of an endoscopic procedure for the placement of a gastrostomy feeding tube has revived interest in the use of this technique for nutritional support. The medical literature has reported a considerable amount of experience which attests to its ease of placement and low incidence of complications associated with placement. The "push" and "pull" techniques both have been used effectively to establish access to the stomach. Innovations by numerous practitioners have helped reduce some of the minor complications associated with percutaneous endoscopic gastrostomy (PEG) placement. Serious complications from pulmonary aspiration and stomal infection remain important management issues after gastrostomy placement and initiation of feeding. The adequacy of nutritional support should be the final measure of successful PEG placement.
用于放置胃造口术喂养管的内镜手术的发展，重新唤起了人们对使用该技术进行营养支持的兴趣。医学文献报道了大量经验，证明其放置容易且与放置相关的并发症发生率低。“推”和“拉”技术都已有效地用于建立进入胃的通道。众多从业者的创新有助于减少与经皮内镜下胃造口术（PEG）放置相关的一些轻微并发症。胃造口术放置和开始喂养后，肺部误吸和造口感染等严重并发症仍然是重要的管理问题。营养支持的充分性应是PEG放置成功的最终衡量标准。
