Outcomes of percutaneous endoscopic gastrostomy in hospitalized patients at a tertiary care center in Turkey.
Outcomes of percutaneous endoscopic gastrostomy in hospitalized patients at a tertiary care center in Turkey.
复制标题
DOI：
10.1038/ejcn.2014.11
复制
发表时间：
2014-04
影响因子：
4.7
通讯作者：
中科院分区：
文献类型：
--
作者：
本研究的目的是对2004年至2012年间在土耳其埃尔西耶斯大学医院经皮内窥镜胃造口术（PEG）置管后接受管饲的患者进行回顾性分析。年龄在18岁以上，需要长期肠道喂养的患者进行了研究。所有PEG均由一名经验丰富的内窥镜医生使用拉通技术进行。收集人口统计学、临床结局和PEG相关并发症数据。在研究的128例受试者中，91例为男性（71%），37例为女性（29%）。该患者人群的平均年龄为54±19岁。PEG管插入的最常见原因是由于脑血管疾病并发症（CVD; 27%）导致无法进食，而非神经系统疾病后发生的脑缺氧是第二常见的适应症（23%）。共有70名患者（55%）患有慢性合并症，其中高血压最常见（20%）。最常见的手术相关并发症是插入部位出血，发生在4%的患者中。1年内的长期并发症为插入部位蜂窝织炎、胃内容物渗漏和造口周围溃疡，分别发生在14%、5%和0.5%的患者中。无PEG插入相关死亡; 1年死亡率与PEG管插入适应症无关。在该住院患者人群中，PEG管插入是提供肠内营养支持的安全方法。
The aim of this study was to perform a retrospective analysis characterizing patients receiving tube feeding following percutaneous endoscopic gastrostomy ( PEG) tube placement between 2004 and 2012 at Erciyes University Hospital in Turkey. Patients above the age of 18 years, who required long term enteral tube feeding were studied. All PEGs were performed using the pull-through technique by one experienced endoscopist Demographic, clinical outcomes, and PEG-related complication data were collected. Of the 128 subjects studied, 91 were male (71%) and 37 were female (29%). The mean age of this patient population was 54±19 years. The most common reason for PEG tube insertion was inability to consume oral diet due to complications of cerebrovascular disease (CVD; 27%), while cerebral hypoxia, occuring after non-neurological medical disorders, was the second most common indication (23%). A total of 70 patients (55%) had chronic comorbidities, with hypertension the most common (20%). The most common procedure related complication was insertion site bleeding, which occurred in 4 % of patients. Long term complications, during one year were insertion site cellulitis, gastric contents leakage, and peristomal ulceration occurred in 14%, 5%, and 0.5% of patients, respectively. There were no PEG insertion-related mortalities; one-year mortality was unrelated to the indication for PEG tube insertion. PEG tube insertion was a safe method to provide enteral access for nutrition support in this hospitalized patient population.
登录
查看更多内容
影响因子：
4.3
作者：
Erdogan, Askin
通讯作者：
Erdogan, Askin
影响因子：
2.6
作者：
Ermis, Fatih;Ozel, Melih;Nazik, Hasan
通讯作者：
Nazik, Hasan
影响因子：
2.6
作者：
Gutt, CN;Held, S;Encke, A
通讯作者：
Encke, A
DOI：
10.1097/00005373-200201000-00007
发表时间：
2002-01-01
影响因子：
--
作者：
Dwyer, KM;Watts, DD;Fakhry, SM
通讯作者：
Fakhry, SM
影响因子：
4.4
作者：
Finocchiaro, C;Galletti, R;Balzola, F
通讯作者：
Balzola, F