Ganga U R, Ryan J J, Schafer L W
USD School of Medicine, Sioux Falls.
S D J Med. 1994 May;47(5):149-52.
The purpose of this study was to determine the indications, success rate, procedure related complications, duration of tube feeding and long-term outcome in 35 consecutive patients in whom we attempted a percutaneous endoscopic gastrostomy (PEG). All procedures were performed in a small University affiliated VA Medical Center Between July 1988 and June 1991 by the same team. Follow-up continued until death or October 1992. The most common indications for PEG were neurologic disorders (n = 30, 90%). PEG was successfully placed in 32 (91%) of the 35 patients. There was no procedure related mortality. Complications occurred in 43% of patients, most of which were minor (97%). In seven patients (22%), tubes were removed as eating was resumed. Two patients died within 30 days of tube placement. Most of the deaths occurred between one and six months (40%) after tube placement. Pneumonia was the most common cause of death and was attributed to aspiration of oropharyngeal secretions. Our experience suggests that PEG is safe and has a low complication rate, even in patients with multiple medical problems.
本研究的目的是确定35例连续接受经皮内镜下胃造口术（PEG）患者的适应证、成功率、与操作相关的并发症、管饲持续时间和长期预后。1988年7月至1991年6月期间，所有操作均由同一团队在一家小型大学附属医院的退伍军人医疗中心进行。随访持续至患者死亡或1992年10月。PEG最常见的适应证是神经系统疾病（n = 30，90%）。35例患者中有32例（91%）成功置入PEG。无与操作相关的死亡病例。43%的患者出现并发症，其中大多数为轻微并发症（97%）。7例患者（22%）在恢复经口进食后拔除了胃造口管。2例患者在置管后30天内死亡。大多数死亡发生在置管后1至6个月（40%）。肺炎是最常见的死亡原因，归因于口咽分泌物误吸。我们的经验表明，即使是患有多种内科疾病的患者，PEG也是安全的，并发症发生率较低。
