Ho C S, Yee A C, McPherson R
Department of Radiology, Toronto General Hospital, Ontario, Canada.
Gastroenterology. 1988 Nov;95(5):1206-10. doi: 10.1016/0016-5085(88)90351-4.
A retrospective study was undertaken to compare the complications of surgical feeding gastrostomy in 100 consecutive patients with those of percutaneous nonendoscopic gastrostomy in 133 consecutive patients. The age and sex distribution and indications for gastrostomy were similar in both groups. Thirty-day mortality in the surgical group was 12% and in the percutaneous group 7.5%. Complications requiring surgical treatment occurred in 8% and 1.5% of the surgical and percutaneous patients, respectively. Significant nonsurgical complications, such as bleeding, aspiration, and myocardial infarction, occurred in 11% of patients undergoing surgical gastroscopy and 3.0% of those with percutaneous gastrostomy. Minor complications, such as mild wound infection and pericatheter leakage, occurred in 14% of surgical patients and in 0.7% of percutaneous patients. Overall, there were significantly fewer complications with percutaneous gastrostomy than with surgical gastrostomy (p less than 0.01). We conclude that percutaneous, nonendoscopic gastrostomy is safer than surgical gastrostomy and hence the preferred method for long-term enteral feeding.
进行了一项回顾性研究，比较100例连续接受手术胃造口术患者与133例连续接受经皮非内镜胃造口术患者的并发症情况。两组患者的年龄、性别分布及胃造口术适应证相似。手术组30天死亡率为12%，经皮组为7.5%。需要手术治疗的并发症分别发生在8%的手术患者和1.5%的经皮患者中。重大非手术并发症，如出血、误吸和心肌梗死，分别发生在11%接受手术胃镜检查的患者和3.0%接受经皮胃造口术的患者中。轻微并发症，如轻度伤口感染和导管周围渗漏，分别发生在14%的手术患者和0.7%的经皮患者中。总体而言，经皮胃造口术的并发症明显少于手术胃造口术（p<0.01）。我们得出结论，经皮非内镜胃造口术比手术胃造口术更安全，因此是长期肠内喂养的首选方法。
