Sali A, Wong P T, Read A, McQuillan T, Conboy D
Department of Surgery, University of Melbourne, Heidelberg Repatriation General Hospital, Victoria, Australia.
Aust N Z J Surg. 1993 Jul;63(7):545-50. doi: 10.1111/j.1445-2197.1993.tb00449.x.
Percutaneous endoscopic gastrostomy (PEG) was performed on 32 patients (mean age 75 years) who were dysphagic but enteral alimentation was possible. Seventeen patients were recovering from a stroke; the interval between the onset of stroke and PEG averaged 44 days. The procedure was successful and well tolerated by 16 of these 17 patients. Ten patients (31%) still had a functioning PEG, a median of 30 weeks after placement. Seven patients whose swallowing recovered had their tubes removed an average of 3 months after their insertion. Fifteen patients (47%) subsequently died from their underlying disease, a mean of 126 days following PEG. There were no deaths directly related to catheter placement. Percutaneous endoscopic gastrostomy is a useful alternative to surgical gastrostomy in elderly patients with long-term oral feeding problems.
对32例吞咽困难但可进行肠内营养的患者（平均年龄75岁）实施了经皮内镜下胃造口术（PEG）。17例患者正在从中风恢复；中风发作至PEG的间隔时间平均为44天。这17例患者中有16例手术成功且耐受性良好。10例患者（31%）在置入PEG后中位时间30周时造口仍发挥作用。7例吞咽功能恢复的患者在置管后平均3个月拔除了胃管。15例患者（47%）随后死于基础疾病，在PEG术后平均126天。没有直接与导管置入相关的死亡病例。对于有长期经口进食问题的老年患者，经皮内镜下胃造口术是外科胃造口术的一种有用替代方法。
