Shike M, Wallach C, Gerdes H, Hermann-Zaidins M
Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York 10021.
JPEN J Parenter Enteral Nutr. 1989 Nov-Dec;13(6):648-50. doi: 10.1177/0148607189013006648.
Skin level gastrostomies and jejunostomies were used in 17 patients for long-term enteral feeding. These devices offer greater comfort to the patient and less potential complications and dysfunction compared to tube gastrostomies and jejunostomies. Placement of the skin level devices requires "mature" gastrocutaneous and jejunocutaneous fistulas. These fistulas can be created by initial placement of percutaneous endoscopic gastrostomies and jejunostomies.
17例患者采用经皮胃造口术和空肠造口术进行长期肠内喂养。与传统的胃造口术和空肠造口术相比,这些装置能为患者提供更大的舒适度,且潜在并发症和功能障碍更少。经皮胃造口术和空肠造口术的放置需要“成熟”的胃皮瘘和空肠皮瘘。这些瘘可通过最初放置经皮内镜下胃造口术和空肠造口术来建立。