经皮内镜下胃造口空肠置管术在肠外瘘病人的应用  

Clinical application of percutaneous endoscopic gastrojejunostomy in gastrointestinal fistula patients

作　　者：汪志明[1] 任建安[1] 江志伟[1] 刁艳青[1] 吴素梅[1] 李宁[1] 黎介寿[1] 

机构地区：[1]南京军区南京总医院解放军普通外科研究所,江苏南京210002

出　　处：《肠外与肠内营养》2009年第1期35-36,39,共3页Parenteral & Enteral Nutrition

摘　　要：目的:研究经皮内镜下胃造口空肠置管术(PEJ)在肠外瘘病人应用的可行性、疗效和并发症。方法:观察15例肠外瘘病人接受PEJ的置管时间、成功率、并发症和导管留置时间。结果:平均置管时间为(17.1±6.6)min,成功率为93.75%(15/16),未发生置管相关并发症,置管后并发症的发生率为13.33%(2/15),空肠管堵塞和切口局部感染各1例。平均导管留置时间为(96.7±42.2)d。结论:PEJ具有操作简便、快捷、安全、易于护理,病人痛苦少、易于耐受和可长期带管等优点,适合肠外瘘病人的使用。Objective： To investigate the usage of percutaneous endoscopic jejunostomy（PEJ） in gastrointestinal fistula patients. Methods ： From March 2003 to June 2007, 15 gastrointestinal fistula patients received percutaneous endoscopic jejunostomy, including 9 males and 6 females. The duration, successful rate, and complications of this procedure were recorded. Results：Tubes were successfully placed in 93.75% cases within an average time of （17.1 ±6.6）rain . No procedure related complications were observed. One case of tube occulusion （6.7%）, and another case of wound infection（6.7% ） were found. The working time of the tubes were （ 96.7 ± 42.2 ） d. Conclusion ： Jejunostomy tubes placed via the pereutaneous endoscopic route were easily handled, effective and safe. The endoscopic method of placing feeding tubes can be performed at the bedside and allows for gastric decompression and enteral feeding to be rapidly and efficiently achieved, which is particularly useful for intubated patients in the intensive care settings.

关 键 词：内镜 经皮内镜下胃造口空肠置管术 肠外瘘 营养支持 

分 类 号：R459.3[医药卫生—治疗学] R574.5[医药卫生—临床医学]