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 :1 996年 6月～ 2 0 0 2年 8月PEG和PEJ共治疗 2 4例病人 ,其中 1 3例行PEG胃肠营养 ;1 1例行PEG胃肠减压加PEJ小肠内营养。结果 :2 1例共行PEG ,PEG加PEJ 2 8例次 ,其中PEG 1 7例次 (4例行造瘘管置换 )、PEG加PEJ 1 1例次 ,手术成功率 1 0 0 %。 2 / 2 8例次出现造瘘管周围皮下感染。所有患者造瘘管置入后营养迅速恢复 ,停止静脉补液。 2 4例病人随访 1～ 48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 ,安全、有效。
Objective:Discussion of the clinical value of percutaneous endoscopic gastrostomy (PEG)and percutaneous endoscopic jejunostomy(PEJ).Methods:We treated 13 patients with PEG ;11 patients with PEG plus PEJ from Jun 1996 to Aug 2002.Results:All the 24 patients experienced 28 times PEG or PEG plus PEJ (The tubes of 3 patients who were treated with PEG were replaced for obstruction), no patients were failed. Four patients had infection around tube after PEG. All patients recovered successfully after PEG or PEG plus PEJ. None severe complications were found during our 1～48 months follow-up. Conclusions: PEG and PEJ are new methods for gastrointestinal decompression and enteral nutrition, which can instead nasogastric tube.They are safe?cheap and have low comlplication rate.
出处
《中国内镜杂志》
CSCD
2003年第5期7-10,共4页
China Journal of Endoscopy
