Heitmiller R F, Gillinov A M, Kafonek D
Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland, U.S.A.
Surg Laparosc Endosc. 1997 Aug;7(4):351-3.
The technique of transthoracic percutaneous endoscopic gastrostomy (PEG) tube placement is described as an alternative to standard nasogastric tube drainage and inpatient observation for those patients who require gastric decompression after esophagectomy with gastric pull-up. Indications for transthoracic PEG tube insertion are distention and poor emptying of the intrathoracic stomach conduit with or without contained anastomotic leak, especially when it appears as if the problem will be slow to resolve. This technique is not advocated for patients with free anastomotic leaks. The potential advantages of this technique over standard nasogastric drainage are that it permits stable patients to be treated successfully as outpatients.
经胸壁经皮内镜胃造口术（PEG）置管技术被描述为一种替代标准鼻胃管引流和住院观察的方法，适用于食管切除胃上提术后需要胃减压的患者。经胸壁PEG置管的指征是胸内胃管扩张和排空不良，伴有或不伴有吻合口漏，尤其是当问题似乎难以迅速解决时。对于有游离吻合口漏的患者，不提倡使用该技术。该技术相对于标准鼻胃管引流的潜在优势在于，它允许病情稳定的患者作为门诊患者成功接受治疗。
