Tan W, Rajnakova A, Kum C K, Alponat A, Goh P M
Department of Surgery, National University Hospital, Singapore.
Hepatogastroenterology. 1998 Nov-Dec;45(24):2060-3.
BACKGROUND/AIMS: Percutaneous endoscopic gastrostomy (PEG) has become a commonly performed procedure to provide nutritional support for chronically ill patients. The aim of this study was to review the safety and results of PEG in a teaching hospital.
A retrospective review of 44 patients who underwent PEG procedure. The indication was long-term enteral feeding in patients who were unable to maintain adequate nutrition by mouth with an otherwise functioning gut. The most common primary diagnosis was cerebrovascular accident (17 patients). All patients were unable to swallow.
There were six (13.6%) minor complications, and two mortalities from peritonitis (4.5%). The most common complication was gastrostomy site infection, which did not require exchange of the feeding tube.
PEG is a useful means of providing nutrition in patients unable to swallow without the necessity for laparotomy and general anesthesia. This method provides an adequate avenue for enteral alimentation in selected patients and is relatively safe. Careful attention to the technique of insertion is important to prevent leakage or bowel perforation.
背景/目的：经皮内镜下胃造口术（PEG）已成为为慢性病患者提供营养支持的常用手术。本研究的目的是回顾一家教学医院中PEG的安全性及结果。
对44例行PEG手术的患者进行回顾性研究。适应证为肠道功能正常但无法经口维持足够营养的患者的长期肠内喂养。最常见的原发性诊断是脑血管意外（17例患者）。所有患者均无法吞咽。
有6例（13.6%）轻微并发症，2例因腹膜炎死亡（4.5%）。最常见的并发症是胃造口部位感染，无需更换喂养管。
PEG是为无法吞咽的患者提供营养的一种有用方法，无需开腹和全身麻醉。该方法为选定患者提供了足够的肠内营养途径且相对安全。仔细注意插入技术对于防止渗漏或肠穿孔很重要。
