Gossner L, Ludwig J, Hahn E G, Ell C
Medizinische Universitätsklinik I mit Poliklinik, Universität Erlangen-Nürnberg.
Dtsch Med Wochenschr. 1995 Dec 22;120(51-52):1768-72. doi: 10.1055/s-2008-1055540.
Percutaneous endoscopic gastrostomy (PEG) having established itself as the standard procedure and preferred method for artificial long-term intestinal nutrition, a retrospective study was undertaken to evaluate the complications and course after PEG.
1299 patients in whom PEG had been performed between 1.8. 1984 and 1.8. 1993 were sent a standardised questionnaire, 1182 of which could be evaluated (954 males, 228 females; mean age 56.7 [3-94] years).
Total duration of PEG was 279830 days, with a mean of 216.2 days per patient. Mortality rate due to the procedure was 0.5%. Severe complications (peritonitis, perforation or faulty puncture) occurred in 9 patients (0.9%). The most common relatively minor complications were peristomal wound infection (8.7%) and brief periods of abdominal pain (4.8%). Typical side effects specific to nutrition were gastrointestinal symptoms, like constipation, diarrhoea, meteorism, vomiting and other signs of illness (39.3%).
Long-term intestinal nutrition via PEG is a safe, efficacious and cost-effective form of treatment which decreases demands on hospital care and reduces costs.
经皮内镜下胃造口术（PEG）已成为人工长期肠道营养的标准手术和首选方法，因此进行了一项回顾性研究，以评估PEG术后的并发症及病程。
向1984年8月1日至1993年8月1日期间接受PEG手术的1299例患者发送标准化问卷，其中1182例可进行评估（男性954例，女性228例；平均年龄56.7[3-94]岁）。
PEG的总时长为279830天，每位患者平均时长为216.2天。手术死亡率为0.5%。9例患者（0.9%）出现严重并发症（腹膜炎、穿孔或穿刺失误）。最常见的相对轻微并发症是造口周围伤口感染（8.7%）和短暂腹痛（4.8%）。营养特有的典型副作用是胃肠道症状，如便秘、腹泻、腹胀、呕吐及其他疾病体征（39.3%）。
通过PEG进行长期肠道营养是一种安全、有效且具有成本效益的治疗方式，可减少对医院护理的需求并降低成本。
