Stellato T A, Gauderer M W
Ann Surg. 1987 Feb;205(2):119-22. doi: 10.1097/00000658-198702000-00002.
From September 1980 to April 1986, 185 percutaneous endoscopic gastrostomies were performed at University Hospitals of Cleveland. Of these, nine (5%) were done for chronic gastrointestinal decompression and form the basis of this report. Patients ranged in age from 21-73 years (mean: 51 years) and all had prolonged, complex hospitalizations extending 25-122 days (mean: 63 days). The only complication associated with the procedure was the identification of transhepatic placement of the catheter, which caused no adverse effects. Two of the nine patients died during hospitalization of causes unrelated to the gastrostomy construction. The goals of gastric decompression and elimination of nasogastric intubation were achieved in all patients. In one patient with gastric intestinal disconnection, the percutaneous gastrostomy was effective as the sole means for elimination of swallowed saliva and gastric output. Three patients continued to use the gastrostomies for chronic decompression after discharge for the remainder of their lives (2 months, 6 months, and 2 years, respectively). Percutaneous endoscopic gastrostomy may provide a safe, secure, and comfortable method of long-term gastric decompression in a select group of high-risk patients with complex intra-abdominal processes.
1980年9月至1986年4月期间，克利夫兰大学医院共进行了185例经皮内镜下胃造口术。其中，9例（5%）用于慢性胃肠减压，构成了本报告的基础。患者年龄在21至73岁之间（平均51岁），均经历了漫长而复杂的住院治疗，住院时间为25至122天（平均63天）。与该手术相关的唯一并发症是发现导管经肝放置，但未造成不良影响。9例患者中有2例在住院期间因与胃造口术无关的原因死亡。所有患者均实现了胃肠减压和拔除鼻胃管的目标。在1例胃肠断开连接的患者中，经皮胃造口术作为消除吞咽唾液和胃内容物的唯一手段是有效的。3例患者出院后继续使用胃造口术进行慢性减压，分别持续了2个月、6个月和2年。经皮内镜下胃造口术可能为一组患有复杂腹腔内疾病的高危患者提供一种安全、可靠且舒适的长期胃肠减压方法。
