经皮内镜胃造瘘和小肠造瘘术

目的探讨经皮内镜胃造瘘术（PEG）和经皮内镜小肠造瘘术（PEJ）建立肠内营养的方法。方法2006年6月至2008年8月PEG和PEJ共治疗18例病人,其中14例行PEG胃肠营养,4例行PEG胃肠减压加PEJ小肠内营养。结果18例共行PEG,PEG加PEJ4例次,其中PEG16例次（2例行造瘘管置换）,PEG加PEJ4例次,手术成功率100%,3例次出现造瘘管周围皮下感染。所有患者造瘘管置入后营养迅速恢复,停止静脉补液。18例病人随访1～24个月无严重并发症发生。结论PEG和PEJ是作为胃肠减压和肠内营养替代鼻饲的一种新的治疗方法,安全、有效、降低医疗费用和并发症少。

Percutaneous Endoscopic Gastrostomy(PEG) and Percutaneous Endoscopic Jejunostomy(PEJ) to Set up the Way of Enteral Nutrition

Objective To discuss the method of percutaneons endoscopic gastrostomy（PEG）and percutaneons endoscopic jejunostomy（PEJ） to set up the way of enteral nutrition.Methods we treated 14Patients with PEG4 patients whit PEG plus PEJ from Jun 2006 to Jun2008.Results All the 18 patients experienced 20 times PEG or PEG plus PEJ（The tubes of 2 patients who we retreated with PEG were replaced for obstruction） , no patients were failed,three patients had infection around tube after PEG.All patients recoverd successfully after PEG or PEG pins PEJ.None severe complications were found during our 1-24months follow-up.Conclusion PEG and PEJ are new methods for gastrointestinal decom pression and enteral nutrition,which can instead nasogastric tube.They are safe, cheap and have low complication rate.