PERCUTANEOUS ENDOSCOPIC GASTROSTOMY - ITS APPLICATION IN PATIENTS WITH NEUROLOGICAL DISEASE

被引：19

作者：

SANT, SM

GILVARRY, J

SHANNON, R

OMORAIN, C

机构：

[1] Department of Gastroenterology, Meath/Adelaide Hospitals

来源：

IRISH JOURNAL OF MEDICAL SCIENCE | 1993年 / 162卷 / 11期

关键词：

D O I：

10.1007/BF02942186

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We performed percutaneous endoscopic gastrostomy (PEG) in 30 patients with prolonged swallowing difficulty (>4 weeks duration). The average procedure time was 25 minutes. PEG insertion was done on an outpatient basis in four patients. The complication rate was 10% and included failed insertion, peristomal infection and herniation of the gastric mucosa at the gastrostomy exit site. At follow-up, the PEG tube continued to function in 18/22 of the surviving patients with a median in-use time of 85 days. Seven patients died from their original disease. Over a 28-day period, the weight gain among the patients ranged from 3kg to 7kg (mean 4.5kg) and average serum albumin increased from 29g/dl to 35g/dl. This confirms that PEG is a safe, easy and effective method of long-term enteral feeding in patients with neurological disease.

引用

页码：450 / 451

页数：2

共 8 条

[1]

Park R.H.R., Allison M.C., Lang J., Et al., Randomised comparison of percutaneous endoscopic gastrostomy and nasogastric tube feeding in patients with persisting neurological dysphagia, Br. Med. J., 304, pp. 1406-9, (1992)

[2]

Gauderer M.W.L., Ponsky J.L., Izant R.J., Gastrostomy without laporotomy: a percutaneous endoscopic technique for feeding gastrostomy, J. Paediatr. Surg., 15, pp. 872-5, (1980)

[3]

Grant J.P., Comparison of percutaneous endoscopic gastrostomy with Stamm gastrostomy, Ann. Surg., 207, pp. 598-602, (1988)

[4]

Stiegmann G.V., Goff J.S., Silas D., Et al., Endoscopic versus operative gastrostomy: final results of a prospective randomised trial, Gastrointest. Endosc., 36, pp. 1-5, (1990)

[5]

Moran B., Taylor M., Johnson C., Percutaneous endoscopic gastrostomy: a review, Br. J. Surg., 77, pp. 858-62, (1990)

[6]

Ponsky J.L., Gauderer M.W.L., Percutaneous endoscopic gastrostomy: indications, limitations, techniques and results, World J. Surg., 13, pp. 165-70, (1989)

[7]

Jain N.K., Larsen D.E., Shroeder D.D., Et al., Antibiotic prophylaxis for percutaneous endoscopic gastrostomy. A prospective, randomized, double-blind clinical trial, Ann. Intern. Med., 107, pp. 824-28, (1987)

[8]

Payne-James J.J., Kapadia S., Loft D.E., Silk D.B.A., Early experience with the Bower percutaneous endoscopic gastrostomy tube, J. R. Coll. Surg. Edinb., 37, pp. 34-6, (1992)

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