Tae Chung Hyun, Lee Ju Yup, Joo Moon Kyung, Park Chan Hyuk, Gong Eun Jeong, Shin Cheol Min, Lim Hyun, Choi Hyuk Soon, Choi Miyoung, Kim Sang Hoon, Lim Chul-Hyun, Byeon Jeong-Sik, Shim Ki-Nam, Song Geun Am, Lee Moon Sung, Park Jong-Jae, Lee Oh Young
Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea.
Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.
Korean J Gastroenterol. 2023 Sep 25;82(3):107-121. doi: 10.4166/kjg.2023.074.
With an aging population, the number of patients with difficulty in swallowing due to medical conditions is gradually increasing. In such cases, enteral nutrition is administered through a temporary nasogastric tube. However, the long-term use of a nasogastric tube leads to various complications and a decreased quality of life. Percutaneous endoscopic gastrostomy (PEG) is the percutaneous placement of a tube into the stomach that is aided endoscopically and may be an alternative to a nasogastric tube when enteral nutritional is required for four weeks or more. This paper is the first Korean clinical guideline for PEG developed jointly by the Korean College of Helicobacter and Upper Gastrointestinal Research and led by the Korean Society of Gastrointestinal Endoscopy. These guidelines aimed to provide physicians, including endoscopists, with the indications, use of prophylactic antibiotics, timing of enteric nutrition, tube placement methods, complications, replacement, and tubes removal for PEG based on the currently available clinical evidence.
随着人口老龄化，因疾病导致吞咽困难的患者数量逐渐增加。在这种情况下，通过临时鼻胃管给予肠内营养。然而，长期使用鼻胃管会导致各种并发症并降低生活质量。经皮内镜下胃造口术（PEG）是在内镜辅助下经皮将管子置入胃内，当需要肠内营养四周或更长时间时，它可能是鼻胃管的一种替代方法。本文是由韩国幽门螺杆菌与上消化道研究学会联合发起、韩国胃肠内镜学会主导制定的首部韩国PEG临床指南。这些指南旨在根据目前可得的临床证据，为包括内镜医师在内的医生提供PEG的适应证、预防性抗生素的使用、肠内营养时机、置管方法、并发症、更换及拔管等方面的指导。
