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題 名 | Percutaneous Endoscopic Gastrostomy (PEG): Eight Years of Clinical Experience=經皮內視鏡胃造瘻:八年臨床經驗 |
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作 者 | 李威傑; 陳炯年; 賴逸儒; 張金堅; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 30:6 民86.11-12 |
頁 次 | 頁399-403 |
分類號 | 416.243 |
關鍵詞 | 內視鏡; 胃造瘻術; Endoscopic; Gastrostomy; |
語 文 | 英文(English) |
中文摘要 | 經皮內視鏡胃造瘻是無法吞嚥病人提供長期腸道營養的首要選擇。本研究乃一個回溯性的研究。針對在本院接受單一內視鏡技術經皮內視鏡胃造瘻術病人的臨床資料加以研究整理並報告我們在台灣的臨床經驗。由民國78年10月至86年8月間,一共27位病人在本科接受經皮內視鏡胃造瘻術。其中15位為男性, 12位為女性。年齡分佈由34至101歲。手術的適應症為10例腦神經麻痺(其中9例乃因鼻咽癌放射線治療後引起),12例為大腦中央神經疾病,惡性腫瘤阻塞有6例及運動神經元疾患1位。手術在局部麻醉狀況下實施。手術時間自12至30分鐘,沒有任何嚴重併發症,僅三位(10.8%) 有輕微併發症,傷口感染2例及胃造瘻管功能不良一例。到目前為止仍有17例病人使用胃造瘻管,其中6位病人改用滿意度極高的鈕扣型長期胃造瘻管(美國,明尼亞波斯,山多氏公司)。因此我們認為經皮內視鏡胃造瘻術是一非常簡單及有效的胃造瘻管放置法,值得在需要長期鼻胃管灌食的病人推廣。 |
英文摘要 | Percutaneous endoscopic gastrostomy (PEG) is now a standard method for providing long-term enteral nutrition in patients who are unable to swallow. The aim of our study is to document our clinical data and our experience in Taiwan. The study was carried out retrospectively. Clinical data of patients having received a PEG tube by a single endoscopic technique were analyzed. A total of 27 patients underwent PEG in our departement. The reason for the operation were cranial nerve palsy in 10 (nine of them were after radiation therapy for nasopharyngeal cancer), central nervous diseases in 12, malignant obstructed tumor in four and motorneuron disease in one patient. The operation was performed under local anesthesia. The operation times varied from 12 to 30 minutes and no major complications were experienced. Three patients (10.8%) developed minor complications, a wound infection in two and a malfunction of the tube in one patient. Seventeen patients have had the gastrostomy tubes till July 1997. Six patients replaced the gastrostomy tube to a permanent button gastrostomy kit with great satisfaction. PEG is a very simple and effective method for gastrostomy tube placement and is advocated for all patients who depend on nasogastric tube feedings. |
本系統中英文摘要資訊取自各篇刊載內容。