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[瑞典新的国家指南——经皮内镜下胃造口术(PEG)及其他肠内喂养管的管理]

[New Swedish national guidelines - management of Percuteaneous Endoscopic Gastrostomy (PEG) and other enteral feeding tubes].

作者信息

Stenberg Karin, Eriksson Anna, Tullberg Ulrika, T Schmidt Peter, Elbe Peter

机构信息

specialistläkare, kirurg-kliniken, Sunderby sjukhus, Luleå.

överläkare, kirurgkliniken, Sunderby sjukhus, Luleå.

出版信息

Lakartidningen. 2024 Aug 21;121:23213.

Abstract

Numerous patients stand to gain significant health benefits from enteral nutrition support facilitated by percutaneous feeding tubes. Consequently it is crucial for endoscopists, general practitioners, surgeons and neurologists to be well-versed with indications, contraindications and potential complications of PEG and other enteral feeding tubes. In this context we present a concise overview of the new national guidelines by the Swedish Society of Gastroenterology regarding the management of PEG and other enteral feeding tubes. Indications for the use of enteral feeding tubes include conditions such as stroke and obstructive cancer. The care of patients with percutaneous feeding tubes necessitates the expertise of a specialized team. Complications related to PEG include, among others, buried bumper syndrome, local infection and dislocation of the feeding tube.

摘要

许多患者通过经皮饲管获得肠内营养支持,从而显著受益于健康。因此,对于内镜医师、全科医生、外科医生和神经科医生而言,熟知经皮内镜下胃造口术(PEG)及其他肠内饲管的适应证、禁忌证和潜在并发症至关重要。在此背景下,我们简要概述了瑞典胃肠病学会关于PEG及其他肠内饲管管理的新国家指南。使用肠内饲管的适应证包括中风和阻塞性癌症等病症。对经皮饲管患者的护理需要专业团队的专业知识。与PEG相关的并发症包括埋入式 bumper 综合征、局部感染和饲管移位等。

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