经皮内镜下胃造瘘和空肠造瘘术临床应用

  • 摘要: 目的 探讨经皮内镜下胃造瘘(PEG)和经皮内镜下空肠造瘘术(PEJ)的临床应用价值。方法 回顾性分析该院2003年1月至2009年1月进行PEG 33例(其中PEG加PEJ 5例)的临床资料。结果 33例PEG(其中5例PEG加PEJ)均成功完成(成功率100%)。术后3例出现腹部造瘘口皮肤感染。1例出现瘘口少量渗血。1例出现造瘘管蘑菇头滑脱胃壁与腹壁间窦道。所有患者开始注食后营养状况逐渐好转,水电解质平衡得到纠正。术前14例反复发作吸入性肺炎均在抗感染后治愈。结论 PEG及PEJ是一种安全、高效、方便、经济、既符合生理、且人性化的肠内营养方法。由于其操作简便、安全易行、并发症少,值得广泛应用。

     

    Abstract: Objective To investigate the feasibility and safety of percutaneous endoscopic gastrostomy(PEG) and percutaneous endoscopic jejunostomy(PEJ). Methods Clinical date were retrospective analyzed from our hospital from January 2003 to January 2009. Thirty-three patients were treated with PEG, of which 5 patients were treated with PEG plus PEJ. Results Thirty-three cases of PEG, including five cases of PEG plus PEJ were successfully completed(performed). Three patients had the skin infections of abdominal fistula after PEG. One patient’s fistula had a small amount of bleeding. One patient had buried bumper syndrome. All patients had gradually improved after advancing nutritional support. Fourteen patients of repeated episodes of aspiration pneumonia before the operation were all cured by anti-infection. Conclusion PEG and PEJ are safe, efficient, convenient, economic, physiological and humane methods of enteral nutrition.

     

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