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[Clinical value of percutaneous endoscopic gastrostomy and jejunostomy]
Li-qing Yao1, Yun-shi Zhong, Wei-dong Gao
1Endoscopy Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Objective:
To investigate the feasibility and safety of percutaneous endoscopic gastrostomy (PEG) and percutaneous endoscopic jejunostomy(PEJ).
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 experienced 134 times of PEG or PEG plus PEJ, including 90 cases (103 times) treated 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 quick nutrition recovery after fistula tube insert,therefore parenteral nutrition was 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 gastrointestinal decompression and enteral nutrition, which can be substitutes for nasogastric tube.
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