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Percutaneous approaches to enteral alimentation
American Journal of Surgery
|January 1, 1985
Summary
Percutaneous endoscopic gastrostomy and jejunostomy offer a safe and effective alternative for long-term enteral nutrition. These minimally invasive techniques show low morbidity and mortality rates, making them ideal for patient care.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Traditional gastrostomy and jejunostomy require laparotomy and general anesthesia.
- Long-term enteral nutrition is crucial for many patients.
- Existing methods pose significant risks and recovery burdens.
Purpose of the Study:
- To evaluate the efficacy and safety of percutaneous endoscopic gastrostomy (PEG) and percutaneous endoscopic jejunostomy (PEJ).
- To compare these novel techniques with traditional operative methods.
- To establish PEG and PEJ as preferred procedures for enteral access.
Main Methods:
- Review of 323 cases undergoing percutaneous endoscopic gastrostomy and jejunostomy.
- Analysis of patient outcomes, including morbidity and mortality.
- Comparison of procedural data with historical controls.
Main Results:
- A low overall morbidity rate of 5.9% was observed.
- The operative mortality rate was exceptionally low at 0.3%.
- Percutaneous endoscopic techniques demonstrated high success rates in establishing enteral access.
Conclusions:
- Percutaneous endoscopic gastrostomy and jejunostomy are safe and effective for long-term enteral alimentation.
- These minimally invasive procedures offer significant advantages over traditional open surgery.
- PEG and PEJ should be considered the procedures of choice for enteral access.