经皮内镜下胃造瘘术的临床应用  

Clinical application of percutaneous endoscopic gastrostomy.

作　　者：姜海行 唐国都 李晓敏 邓嘉 韦荣芬 

机构地区：广西医科大学第一附属医院消化内科,南宁530021

出　　处：《微创医学》2006年第1X期15-17,共3页Journal of Minimally Invasive Medicine

摘　　要：目的探讨经皮内镜下胃造瘘（percutaneous endoscopic gastrostomy，PEG）的临床应用价值。方法对12例需要鼻饲的患者进行PEG治疗。结果全部患者均成功置管，平均耗时17min，所有患者造瘘管置入后营养迅速恢复，停止静脉补液。造瘘管最短留置时间3．5月，最长3年3个月，其中2例（2／12％）发生造瘘管周围皮肤感染，1例出现反流性食管炎，经对症处理均显著改善。未发生消化道出血、穿孔等严重并发症。结论PEG操作方法简便、安全，成功率高，并发症较少而轻，临床效果显著，值得临床推广应用。Objective To explore the clinical value of percutaneous endoscopic gastrostomy （PEG） . Methods A total of 12 patients who required nasal feeding but were unable to maintain sufficient oral intake received PEG. Results 12 patients were successful placed tubes and maintained for 3.5 months to 3 years and 3 months. The mean procedure time for PEG was 17 min. All patients had quick nutrition recovery after PEG, 2 patients（16.7%） developed superficial infection of the skin around the catheter, and 1 patient（8.3%） suffered from gastroesophageal reflux .There were no other severe complications such as gastrointestinal bleeding or perforation and so on.Conclusion PEG provides a safe and easy method for advancing nutritional support, developing health and improving quality of life. PEG should be the first choice for creation of a feeding gastrostomy.

关 键 词：内镜 胃造瘘 营养 

分 类 号：R573[医药卫生—消化系统]