经皮内镜下胃/空肠造口术并发症的预防与治疗

目的:重点探讨经皮内镜下胃肠造口术并发症的预防及治疗. 方法:对2002年10月至2003年12月间85例恶性肿瘤病人共行88例次经皮内镜下胃造口(PEG)和经皮内镜下空肠造口(PEJ),回顾性统计并发症的发生情况.所有PEG/J均采用拉出法. 结果:85例病人PEG/J术后无操作相关死亡,无严重并发症,但微小并发症发生率为8.2%(7/85).7例病人发生8次微小并发症,分别为切口感染2例、导管断裂2例、导管尖端移位2例、导管缠绕1例、导管渗漏1例,均通过非手术治疗后治愈. 结论:经皮内镜下胃/空肠造口术操作简便、安全,加强围手术期的处理是控制并发症的关键.

Percutaneous endoscopic gastrostomy and jejunostomy:methods for prevention and management of complications

Objectives: Although the placement of percutaneous endoscopic gastrostomy/jejunostomy(PEG/J) is a technically simple procedure, the surgeon must be aware of the range of complications that can occur with PEG/J. We review our experience with PEG/J focusing on the complications as well as strategies for the prevention and management of these complications. Methods: A retrospective review of the records of patients who underwent PEG/J between October 2001 and December 2003 was conducted. A total of 85 cancer patients were identified. Complications associated with PEG/J were identified. All PEG/J were performed using the pull technique. Results: There was no mortality and major complication associated with the procedure. Minor complications occurred in 7 patients (8.2%). These included incisional infection (2), tube breakage(2), J catheter translocation (2), J catheter twist (1) and tube leakage (1). Conclusions: The review of our experience with PEG/J tube placement revealed a low complication rate. Appropriate perioperative management was the key to control the complications.