Hussain A, Woolfrey S, Massey J, Geddes A, Cox J
Medicine for the Elderly and General Medicine, Guy's Hospital, London, UK.
Postgrad Med J. 1996 Oct;72(852):581-5. doi: 10.1136/pgmj.72.852.581.
Percutaneous endoscopic gastrostomy (PEG) is now the technique of choice for patients requiring long-term enteral feeding. It is a good method for feeding patients with neurological dysphagia and can safely be kept in situ for long periods. PEG feeding requires a multidisciplinary approach, involving doctors, nurses, pharmacists, speech therapists, dieticians and carers. The insertion of a PEG, which requires two operators and two endoscopy nurses, is described in full. Feeding can commence after a few hours. Various types of feed and feed-ing patterns are described and their relative merits discussed. Although psychological problems may occur following PEG insertion, the procedure is usually well accepted by patients.
经皮内镜下胃造口术（PEG）目前是需要长期肠内营养患者的首选技术。对于患有神经性吞咽困难的患者，这是一种很好的营养供给方法，并且可以安全地长期留置。PEG营养供给需要多学科协作，涉及医生、护士、药剂师、言语治疗师、营养师和护理人员。文中详细描述了PEG的插入过程，这需要两名操作人员和两名内镜护士。插入几小时后即可开始营养供给。文中还描述了各种类型的营养液和喂养模式，并讨论了它们的相对优点。尽管PEG插入后可能会出现心理问题，但该手术通常能被患者很好地接受。
