经皮内镜胃造瘘和小肠造瘘术的临床应用价值

目的 探讨经皮内镜胃造瘘术（PEG）和经皮内镜小肠造瘘术（PEJ）的临床应用价值。方法 总结分析1996年6月至2005年4月121例患者予以PEG和PEJ治疗的临床资料。结果 121例患者共行PEG、PEG加PEJ 134例次，其中90例（103例次）PEG胃肠营养（13例行造瘘管置换）；31例行PEG胃肠减压加PEJ小肠内营养；手术成功率100％。所有患者造瘘管置入后营养迅速恢复，停止静脉补液。4例患者出现造瘘管周围皮下感染。平均随访10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，具有安全、并发症少的优点，如有条件应当选用。

Clinical value of percutaneous endoscopic gastrostomy and jejunostomy

Objective To investigate the feasibility and safety of p er cutaneous endoscopic gastrostomy (PEG) and percutaneous endoscopic jejunostomy(P EJ). Methods From June 1996 to April 2005,clinical data of 121 patients treated with PEG or PEJ were analyzed retrospectively. Results A total of 121 patients e xperienced 134 times of PEG or PEG plus PEJ,including 90 cases (103 times) treat ed with PEG and 31 patients treated with PEG plus PEJ. Thirteen patients treated with PEG had fistula replacement 6- 10 months after PEG. All patients had quic k nutrition recovery after fistula tube insert,therefore parenteral nutrition wa s not required. No severe complications occurred in all patients after 10 months of following-up. Four patients had subcutaneous infection around fistula 4- 10 days after PEG. Conclusion PEG and PEJ are safe and new methods for gastroint estinal decompression and enteral nutrition,which can be substitutes for nasogas tric tube.