Kozarek R A, Ball T J, Ryan J A
Am J Gastroenterol. 1986 Aug;81(8):642-6.
Percutaneous endoscopic gastrostomy has supplanted surgical gastrostomy in a number of medical centers. A variety of makeshift or commercially available gastrostomy kits has been used, as have several insertion techniques. Despite widespread use, however, there are conflicting reports regarding the best method of gastrostomy tube insertion. Studying 30 patients, 15 of whom underwent percutaneous endoscopic gastrostomy with the "push" and 15 with the "pull" technique, we found both methods successful, and associated with an acceptable complication rate. In the authors' hands, the "pull" technique was technically easier.
在一些医疗中心，经皮内镜下胃造口术已取代了外科胃造口术。人们使用了各种临时制作的或市售的胃造口术套件，也采用了多种插入技术。然而，尽管该技术被广泛应用，但关于胃造口管插入的最佳方法仍存在相互矛盾的报道。我们对30例患者进行了研究，其中15例采用“推”技术进行经皮内镜下胃造口术，15例采用“拉”技术，我们发现这两种方法均成功，且并发症发生率可接受。在作者的操作中，“拉”技术在技术上更容易。
