在儿科患者中使用单步穿皮内镜胃口切除 (Push-PEG) 按的安全性
Julian Brinkmann1, Luise Fahle, Ilse Broekaert
1From the Department of Pediatrics, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Journal of pediatric gastroenterology and nutrition
|August 23, 2023
概括
在儿科患者的皮肤内镜胃口术 (PEG) 中,一步 ("Push-PEG") 技术与传统的拉动技术一样安全. 父母的满意度和患者的成长在两种PEG方法之间没有显著差异.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 最少侵入性手术的方法
- 医疗器械技术 医疗器械技术
背景情况:
- 穿皮内镜胃口术 (PEG) 系统对于儿科患者的肠道养至关重要.
- "Push-PEG"技术提供了直接引入PEG按,可能简化了程序.
研究的目的:
- 与传统的拉PEG方法相比,评估Push-PEG技术的安全性和有效性.
- 评估家长对儿科患者的Push-PEG技术的满意度.
主要方法:
- 一个回顾性,单中心研究,比较了接受Push-PEG与PEG安置的儿科患者.
- 数据包括并发症率 (小和大),患者的增长和父母的满意度通过利克尔特尺度问卷.
主要成果:
- 分析了83名儿科患者;推进PEG (32.7%) 和拉动PEG (38.7%) 之间的并发症率相似,推进PEG组的重大并发症趋势较少 (4.1%与8.8%相比).
- 两种技术之间的父母满意度和患者成长结果没有显著差异.
- 推-PEG技术的安全性与拉动技术相提并论,即使在超过2.8个月和4kg的婴儿中也是如此.
结论:
- 推PEG技术是儿童肠道养中传统的拉拉PEG方法的安全替代方案.
- 较少的后续干预可能有利于Push-PEG作为选择儿科病例的主要方法.
- 这两种技术都产生了可比的父母满意度和患者成长结果.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
199
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...
199
Endoscopic Procedures I: Esophagogastroduodenoscopy
174
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:
174
Enteral Nutrition I: Orogastric and Nasogastric Feeding
348
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...
348
Peptic Ulcer Disease V: Surgical Management and Nursing Care
335
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
335
Endoscopic Procedures V: ERCP
373
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...
373
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
211
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
211
