Meier R, Bauerfeind P, Gyr K
Abteilung für Gastroenterologie, Kantonsspital Liestal.
Schweiz Med Wochenschr. 1994 Apr 16;124(15):655-9.
Percutaneous endoscopic gastrostomy is the preferred method for administration of long-term enteral tube feeding. Data on long-term follow-ups are rare. We report the long-term outcome and the complication rates after percutaneous endoscopic gastrostomy in 165 patients (mean age 70 years). The most common indications were neurologically-related swallowing disorders. The data were collected prospectively. Percutaneous endoscopic gastrostomy in patients was technically successful in 164 patients (99%), with a mean implantation time of 12 minutes. The procedure-related morbidity was 1.2%. The mean length of percutaneous endoscopic gastrostomy feeding was 26 weeks (1-98) for the Charrière 9-tube and 29 weeks (1-158) for Charrière 15-tubes. There were 12% tube-related and 15% feeding-related late complications, the main ones being local skin infections (7.3%) and gastric perforations (1.2%). The procedure-related mortality was 0.6%. We conclude that endoscopically assisted percutaneous gastrostomy is the procedure of choice for long-term enteral nutrition in patients requiring tube-feeding.
经皮内镜下胃造口术是长期肠内管饲的首选方法。长期随访的数据很少。我们报告了165例患者（平均年龄70岁）经皮内镜下胃造口术后的长期结果和并发症发生率。最常见的适应证是与神经相关的吞咽障碍。数据是前瞻性收集的。164例患者（99%）经皮内镜下胃造口术技术成功，平均植入时间为12分钟。手术相关发病率为1.2%。Charière 9号管经皮内镜下胃造口术喂养的平均时长为26周（1 - 98周），Charière 15号管为29周（1 - 158周）。有12%的管相关和15%的喂养相关晚期并发症，主要是局部皮肤感染（7.3%）和胃穿孔（1.2%）。手术相关死亡率为0.6%。我们得出结论，内镜辅助经皮胃造口术是需要管饲的患者长期肠内营养的首选方法。
