Stellato T A, Gauderer M W, Ponsky J L
Ann Surg. 1984 Jul;200(1):46-50. doi: 10.1097/00000658-198407000-00007.
During a 36-month period, 89 patients have undergone percutaneous endoscopic gastrostomy without mortality. Of these patients, 25 (13 infants and children, 12 adults) had prior abdominal procedures that increased their risk for the endoscopic procedure. With two exceptions, all gastrostomies were performed utilizing local anesthesia. There was one major complication, a gastrocolic fistula, which was successfully managed by repeating the endoscopic gastrostomy procedure at a location more cephalad in the stomach. Twenty-two of the gastrostomies were placed for feeding purposes and all of these patients were able to leave the hospital with alimentation accomplished via the tube. Three of the endoscopically placed gastrostomies were for gastrointestinal tract decompression. A total of 255 patient months have been accumulated in these patients with the endoscopically placed gastrostomy in situ. The technique can be safely performed in patients with prior abdominal surgery and in the majority of cases is the technique of choice for establishing a tube gastrostomy.
在36个月的时间里，89例患者接受了经皮内镜下胃造口术，无一例死亡。在这些患者中，25例（13例婴幼儿和儿童，12例成人）曾接受过腹部手术，这增加了他们接受内镜手术的风险。除两例外，所有胃造口术均采用局部麻醉进行。发生了1例严重并发症，即胃结肠瘘，通过在胃内更高位置重复内镜下胃造口术成功处理。22例胃造口术用于喂养目的，所有这些患者均能通过胃管实现营养供给后出院。3例内镜下放置的胃造口术用于胃肠道减压。这些接受内镜下胃造口术的患者共累积了255个患者月。该技术可安全应用于曾接受腹部手术的患者，并且在大多数情况下是建立胃造瘘管的首选技术。
