Russell T R, Brotman M, Norris F
Am J Surg. 1984 Jul;148(1):132-7. doi: 10.1016/0002-9610(84)90300-3.
A refined endoscopically controlled percutaneous tube gastrostomy has been described in detail, and the experience gained in 28 patients has been reported herein. A majority of the patients had severe underlying neurologic disorders, malignancy of the oral pharynx or esophagus or chronic intestinal obstruction due to advanced malignancy. The three groups of patients were analyzed regarding mortality and morbidity. Three minor complications occurred in the entire group, and three in-hospital deaths occurred which were unrelated to the tube. In addition, four other patients died from their underlying disease several months after discharge from the hospital. Analysis of this technique has shown it to be safe, easy to perform, and acceptable to the patients and supporting personnel. A cost analysis showed significant savings when this technique was utilized instead of operative gastrostomy.
一种改良的内镜控制经皮胃造口术已被详细描述，本文报告了28例患者的经验。大多数患者患有严重的潜在神经系统疾病、口咽或食管癌或晚期恶性肿瘤导致的慢性肠梗阻。对三组患者的死亡率和发病率进行了分析。整个组发生了3例轻微并发症，3例住院死亡与胃造口管无关。此外，另有4例患者出院数月后死于基础疾病。对该技术的分析表明，它安全、易于操作，患者和医护人员均可接受。成本分析显示，采用该技术代替手术胃造口术可节省大量费用。
