Fávaro Gabriel Marques, Filho Tiago Franco, Coca Diego Soares, Cunha Marco Antonio, Sato Uemura Ricardo, Furuya Júnior Carlos Kyoshi, Aparício Dayse, Artifon Everson L A
Digestive Endoscopy Departament, Hospital Ana Costa. Santos-SP, Brazil.
Rev Gastroenterol Peru. 2017 Jan-Mar;37(1):33-38.
Percutaneous endoscopic gastrostomy (PEG) is a safe and effective endoscopic surgical procedure for enteral access and gastrointestinal decompression, and it is an excellent alternative to surgical gastrostomy. There are various clinical indications and these mainly include the need for prolonged enteral nutritional support due to complications from neurological, geriatric and oncological diseases and decompression of the gastrointestinal tract. Although safe and effective, a number of possible complications relating to the time (early or late complications) and severity (minor or major complications) may occur.
To evaluate the indications and complications relating to PEG among selected patients at the digestive endoscopy service of a regional referral hospital.
A retrospective study on patients who underwent PEG between May 2013 and April 2015 was conducted. The patients were identified through searching the medical records and using a standardized data form.
53 cases were analyzed. The average age was 70.47 years and 60.37% of the patients werewomen. The main indication identified was the need for enteral nutritional support, and 73.58% of these indications were derived from neurological complications, 15.09% from geriatric complications and 9.43% from oncological complications and 1.88% were due to gastrointestinal decompression. Complications occurred in 24.52% of the cases: 23.07% were major and 76.93% were minor. Regarding the time, there were eight cases of late complications and five of early complications.
PEG was shown to be an effective and safe method for enteral access. The indication and complication rates were similar to those reported in the literature.
经皮内镜下胃造口术（PEG）是一种用于肠内通路建立和胃肠减压的安全有效的内镜手术，是外科胃造口术的极佳替代方法。其有多种临床适应症，主要包括因神经、老年和肿瘤疾病并发症而需要长期肠内营养支持以及胃肠道减压。尽管该手术安全有效，但可能会出现一些与时间（早期或晚期并发症）和严重程度（轻微或严重并发症）相关的并发症。
评估某地区转诊医院消化内镜科特定患者中与PEG相关的适应症和并发症。
对2013年5月至2015年4月期间接受PEG的患者进行回顾性研究。通过查阅病历并使用标准化数据表格来确定患者。
共分析了53例病例。平均年龄为70.47岁，60.37%的患者为女性。确定的主要适应症是需要肠内营养支持，其中73.58%的适应症源于神经并发症，15.09%源于老年并发症，9.43%源于肿瘤并发症，1.88%是由于胃肠减压。24.52%的病例发生了并发症：23.07%为严重并发症，76.93%为轻微并发症。关于时间，有8例晚期并发症和5例早期并发症。
PEG被证明是一种有效的肠内通路建立方法。其适应症和并发症发生率与文献报道相似。
