基于专业和方法的肠道接入结果:一个单一中心的三年经验
Jeffrey L Roberson1, Armaun D Rouhi1, Elizabeth Bader1
1Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
The Journal of surgical research
|August 4, 2023
概括
穿皮内镜胃口术 (PEG) 和穿皮胃口术 (perc-G) 在肠道接入方面提供了相似的结果. 尽管PEG的患者复杂性更高,但两种方法的并发症率和营养标志物是可比的.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 肠道接入对于成年患者的营养至关重要.
- 干预性放射学,内镜和手术是建立肠道入口的常见方法.
- 营养结果可以根据使用的获取方法而有所不同.
研究的目的:
- 为了比较不同肠道接入程序之间的营养结果.
- 分析并发症,食时间和访问时间的差异.
- 评估患者复杂性对结果的影响.
主要方法:
- 对912名接受肠道接入手术的成年患者 (2018-2020年) 的回顾性审查.
- 程序包括穿皮内镜胃口术 (PEG),开放/腹腔镜胃口术和穿皮胃口术 (perc-G).
- 营养标志物,并发症率和PEG和perc-G之间的时间到事件数据的比较.
主要成果:
- 与perc-G.G.相比,PEG患者的查尔森得分较高,初始白蛋白较低.
- 在目标料的时间,三角前白蛋白或访问删除时间方面没有发现统计学上显著的差异.
- 在PEG (19%) 和perc-G (16%),与肠道接入相关的并发症发生率相似.
- 透皮胃口切除术 (perc-G) 显示了前白蛋白的百分比变化更大.
结论:
- 穿皮内镜胃口术 (PEG) 和穿皮胃口术 (perc-G) 在并发症和营养支持方面表现出相似的结果.
- 尽管PEG患者的基线疾病严重程度较高,但功能结果相似.
- 选择肠道接入方法应根据患者解剖学和技术因素进行个性化选择.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
200
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...
200
Enteral Nutrition I: Orogastric and Nasogastric Feeding
349
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
349
Drug Delivery: Enteral Route
505
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
505
Endoscopic Procedures III: Video Capsule Endoscopy
188
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,...
188
Endoscopic Procedures V: ERCP
390
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...
390
Routes of Drug Administration: Enteral
3.8K
Medications can be administered through the enteral route using liquids, capsules, or tablets.
Enteral administration involves drug administration via the mouth in two ways: orally or sublingually.
Unlike sublingually drugs, drugs that are taken orally pass through the gastrointestinal (GI) tract and get metabolized by the liver. Once metabolized, the drug is absorbed into the systemic circulation, reaching different body parts via the bloodstream. However, while passing through the stomach,...
Enteral administration involves drug administration via the mouth in two ways: orally or sublingually.
Unlike sublingually drugs, drugs that are taken orally pass through the gastrointestinal (GI) tract and get metabolized by the liver. Once metabolized, the drug is absorbed into the systemic circulation, reaching different body parts via the bloodstream. However, while passing through the stomach,...
3.8K


