Percutaneous endoscopic gastrostomy and jejunostomy in critical patients

HE Fa-ming; et al

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Percutaneous endoscopic gastrostomy and jejunostomy in critical patients

更新时间：2024-01-17

- Percutaneous endoscopic gastrostomy and jejunostomy in critical patients
- Journal of Chongqing Medical University Issue 7, Pages: 891-892(2008)
- 作者机构：
  
  1. 重庆医科大学附属第一医院中心ICU
  2. 重庆医科大学附属第一医院消化内科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R459.7
- Published：2008，
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[1]何发明,徐昉,黄纪坚,张俊文.内镜下胃和空肠造瘘术在危重病人中的应用[J].重庆医科大学学报,2008(07):891-892.

HE Fa-ming, et al. Percutaneous endoscopic gastrostomy and jejunostomy in critical patients. [J]. Journal of Chongqing Medical University (7):891-892(2008)
[1]何发明,徐昉,黄纪坚,张俊文.内镜下胃和空肠造瘘术在危重病人中的应用[J].重庆医科大学学报,2008(07):891-892. DOI：

HE Fa-ming, et al. Percutaneous endoscopic gastrostomy and jejunostomy in critical patients. [J]. Journal of Chongqing Medical University (7):891-892(2008) DOI：

摘要

目的:探讨内镜下胃造瘘（Percutaneous endoscopic gastrostomy

PEG）和空肠造瘘术（Percutaneous endoscopic jejunosto-my

PEJ）在危重病人中的应用。方法:对25例危重病人进行了经皮内镜下胃和空肠造瘘术

总结其手术指征、相关并发症、操作过程和临床疗效。结果:25例病人经皮胃和空肠造瘘均获得成功

未发生与PEG及PEJ操作相关的并发症。带管时间为2～8月

4例（16%）出现造瘘口处皮肤感染和渗漏

经局部换药、引流后治愈。3例（12%）出现PEJ导管阻塞。结论:对于危重病人

经皮内镜下胃和空肠造瘘术是建立长期胃肠道营养途径的安全、微创、简便的方法。

Abstract

Objective:To evaluate the role of percutaneous endoscopic gastrostomy/jejunostomy(PEG/PEJ) in critical patients. Methods:Percutaneous endoscopic gastrostomy/jejunostomy procedures were performed in 25 critical patients. Indication

procedure-related complication

technical success and clinical outcome were reviewed. Results:The technical success was 100% and there were no serious complications. In 4 patients(16%)

local cleansing

drainage were used for the infection of PEG site. PEJ tube dysfunction occurred in 3 patients(12%). Conclusion:PEG /PEJ is a safe

minimal invasive

and effective procedure for enteral nutrition in critical patients.

关键词

经皮内镜下胃空肠造瘘危重病人肠内营养

Keywords

Percutaneous endoscopic gastrostomy/jejunostomyCritical patientsenteral nutrition

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Department of Vascular Surgery,the First Affiliated Hospital,Chongqing Medical University

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Department of Nutrtion,the Third Affiliated Hospital,Nantong University

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