摘要
目的探讨经皮内镜胃造瘘术(PEG)和经皮内镜小肠造瘘术(PEJ)的临床应用价值。方法总结分析1996年6月至2005年4月121例患者予以PEG和PEJ治疗的临床资料。结果121例患者共行PEG、PEG加PEJ134例次,其中90例(103例次)PEG胃肠营养(13例行造瘘管置换);31例行PEG胃肠减压加PEJ小肠内营养;手术成功率100%。所有患者造瘘管置入后营养迅速恢复,停止静脉补液。4例患者出现造瘘管周围皮下感染。平均随访10个月无严重并发症发生。结论PEG和PEJ是作为胃肠减压和肠内营养替代鼻饲的一种新的治疗方法,具有安全、并发症少的优点,如有条件应当选用。
Objective To investigate the feasibility and safety of gastrostomy （PEG） and percutaneous endoscopic jejunostomy（PEJ）. Methods percutaneous endoscopic From June 1996 to April 2005, clinical data of 121 patients treated with PEG or PEJ were analyzed retrospectively. Results A total of 121 patients experienced 134 times of PEG or PEG plus PEJ, including 90 cases （103 times） treated with PEG and 31 patients treated with PEG plus PEJ. Thirteen patients treated with PEG had fistula replacement 6- 10 months after PEG. All patients had quick nutrition recovery after fistula tube insert, therefore parenteral nutrition was not required. No severe complications occurred in all patients after 10 months of following-up. Four patients had subcutaneous infection around fistula 4 - 10 days after PEG. Conclusion PEG and PEJ are safe and new methods for gastrointestinal decompression and enteral nutrition, which can be substitutes for nasogastric tube.
出处
《中华胃肠外科杂志》
CAS
2005年第5期413-415,共3页
Chinese Journal of Gastrointestinal Surgery
