Vinge O D, Hartvigsen A B, Matzen P
Kirurgisk og medicinsk gastroenterologisk afdeling, Hvidovre Hospital, København.
Ugeskr Laeger. 1994 May 23;156(21):3160-3.
To assess mortality, morbidity and outcome of percutaneous endoscopic gastrostomy (PEG) we retrospectively studied 67 patients. PEG was successful in 65 patients (success rate, 97%). PEG was used as the procedure of choice when enteral feeding was needed. PEG was performed employing an introducer-technique and a Danish developed gastrostomy tube. The most common indication for PEG were neurological diseases (45 patients (69%)), trauma and malignant disorders (17 patients (26%)). Oral intake recovered in 18 patients (28%) who then had the tube removed, 25 patients (38%) were discharged with the gastrostomy, 13 patients (20%) died from their primary disease and five patients with PEG remained in hospital, PEG was removed in three patients due to intolerance to enteral feeding (two patients) or stomal leak (one patient). The total complication rate was 8% with three major complications (one procedure-related death). We recommend PEG for both short and long-term feeding.
为评估经皮内镜下胃造口术（PEG）的死亡率、发病率及预后，我们对67例患者进行了回顾性研究。65例患者PEG操作成功（成功率97%）。当需要肠内营养时，PEG被用作首选方法。PEG采用导入器技术及丹麦研发的胃造口管进行操作。PEG最常见的适应证是神经系统疾病（45例患者（69%））、创伤及恶性疾病（17例患者（26%））。18例患者（28%）恢复经口进食后拔除了胃造口管，25例患者（38%）带胃造口出院，13例患者（20%）死于原发疾病，5例带胃造口管的患者仍住院，3例患者因肠内营养不耐受（2例患者）或造口漏（1例患者）拔除了胃造口管。总并发症发生率为8%，有3例严重并发症（1例与操作相关的死亡）。我们推荐PEG用于短期及长期营养支持。
