Percutaneous endoscopic gastrostomy: A long-term follow-up
Percutaneous endoscopic gastrostomy: A long-term follow-up
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DOI：
10.1016/s0899-9007(97)00030-0
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发表时间：
1997-06-01
期刊：
影响因子：
4.4
通讯作者：
Balzola, F
中科院分区：
文献类型：
--
作者：
Finocchiaro, C;Galletti, R;Balzola, F
经皮内镜胃造口术（PEG）是长期管饲的首选方法，但只有少数研究描述了长期随访。本研究的目的是分析PEG肠内感觉患者的长期随访情况，并报告并发症和生存率。1991年1月至1995年6月，eve研究了136例植入PEG后的患者（49%为癌症患者，51%为非癌症患者，男性为68%，女性为32%）。128例患者进行了超过31 d的长期随访。PEG喂养的平均持续时间为277 +/- 358 d(31-1590): 17%的患者恢复口服喂养，34%的患者继续肠内营养，49%的患者死亡。3%的患者出现主要并发症：吸入性肺炎1例，皮下脓肿1例，埋穴综合征2例。14%的病例出现了轻微并发症：8例管堵塞，4例管移位，6例部位感染。在136例患者中，植入PEG后1、6、12和24个月的生存率分别为90.5%、52%、42%和35%。180 d后，肿瘤患者与非肿瘤患者的生存率差异有统计学意义（P < 0.02）。非癌症患者的中位生存率为64%，癌症患者的中位生存率为39%，这一趋势在2年内没有变化。(C)Elsevier Science inc., 1997。
Percutaneous endoscopic gastrostomy (PEG) is the preferred method of long-term tube feeding, but only a few studies describe a long-term follow-up. The purpose of this study is to analyze the follow-up of PEG enteral feeling patients in the long term, and to report on the complication and survival rates. Between January 1991 and June 1995, eve studied 136 patients (49% cancer and 51% non-cancer patients; male = 68%, female = 32%) after PEG insertion. One hundred twenty-eight patients had a long-term follow-up of over 31 d. The mean duration of PEG feeding was 277 +/- 358 d (range 31-1590): 17% of patients returned to oral feeding, 34% continued enteral nutrition and 49% died. Major complications occurred in 3% of the patients: 1 aspiration pneumonia, 1 subcutaneous abscess, 2 buried bumper syndrome. Minor complications arose in 14% of our cases: 8 tube blockages, 4 tube dislodgements, 6 site infections. For the whole group of 136 patients, survival probabilities after PEG insertion at 1, 6, 12, and 24 mo were 90.5%, 52%, 42%, and 35%, respectively. After 180 d, the difference in survival probabilities between cancer and non-cancer patients became significant (P < 0.02). Median survival probability was 64% for non-cancer and 39% for cancer patients, and this trend did not chance over 2 y. (C)Elsevier Science inc. 1997.