在一个单一中心对644名皮肤内镜胃口术患者的评估
Umut Firat Turan1, Mehmet Kağan Katar1
1General Surgery, Atlas University, Istanbul, TUR.
Cureus
|June 1, 2023
概括
穿皮内镜胃口切除术 (PEG) 是对需要长期营养支持的患者的一种安全手术. 神经学症状很常见,但相关的死亡风险更高.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 外科手术的结果
背景情况:
- 穿皮内镜胃口术 (PEG) 对于患有吞困难的患者的营养支持至关重要.
- 评估PEG指示,并发症和结果对于优化患者护理至关重要.
研究的目的:
- 审查和评估PEG手术的指示,并发症,风险因素和死亡率.
- 评估PEG在大学医院环境中的安全性和可行性.
主要方法:
- 在2010年1月至2019年1月期间进行的819个PEG程序的回顾性分析.
- 排除标准包括无法获得的记录,之前的胃切除术,年龄在18岁以下,以及以前的PEG.
主要成果:
- 大多数PEG征兆 (71.5%) 是神经性,主要是中风.
- 整体并发症率为11.2%,其中周围肠道感染最常见 (5.7%).
- 并发症的危险因素包括糖尿病,痴呆症和特定药物 (克洛皮多格雷尔,阿司匹林). 对于神经学症状,一年死亡率更高.
结论:
- PEG是长期营养支持的安全和可行的程序.
- 低的并发症和死亡率支持其在患有吞障碍的患者中使用.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
211
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
211
Endoscopic Procedures V: ERCP
460
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
460
Endoscopic Procedures I: Esophagogastroduodenoscopy
231
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
231
Endoscopic Procedures III: Video Capsule Endoscopy
216
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
216


