Raha S K, Woodhouse K
University Department of Geriatric Medicine, Cardiff Royal Infirmary West Wing.
Age Ageing. 1994 Mar;23(2):162-3. doi: 10.1093/ageing/23.2.162.
Over the period 1 April 1990 to 31 December 1992, a total of 179 PEG procedures were performed on 161 elderly patients, mean age 79 years (range 53-99). In most (141) patients, the indication was neurological dysphagia (usually stroke), but in 20 the tube was inserted to attain adequate nutritional support. Thirty-day fatality was 20% overall, but in those who underwent PEG only for nutritional support, survival was poor--only 20% at 30 days. Almost all deaths were a result of progression of the original illness. Only one procedure-related death occurred. Fifty-six complicating episodes occurred in 20 (12%) patients, the majority being minor. The commonest adverse event was PEG site infection. PEG is a useful and in general well tolerated procedure in geriatric practice, but careful patient selection is essential; in particular its use as a nutritional adjunct in frail patients needs careful evaluation.
在1990年4月1日至1992年12月31日期间，对161名老年患者共进行了179次经皮内镜下胃造口术（PEG），平均年龄79岁（范围53 - 99岁）。大多数（141名）患者的适应证为神经性吞咽困难（通常为中风），但有20名患者插入胃管是为了获得足够的营养支持。总体30天死亡率为20%，但仅为获得营养支持而接受PEG的患者生存率很低——30天时仅为20%。几乎所有死亡都是由原发病进展所致。仅发生了1例与手术相关的死亡。20名（12%）患者出现了56次并发症，大多数为轻微并发症。最常见的不良事件是PEG部位感染。PEG在老年医学实践中是一种有用且总体耐受性良好的手术，但必须仔细选择患者；特别是在体弱患者中将其用作营养辅助手段需要仔细评估。
