混合透皮内镜胃口术 (混合PEG) 通过将拉透技术与胃口术相结合,提高了患者的安全性
Tobias Horst Kinzel1, Viktoria Reich1, Leonie Schuhmacher1
1Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Endoscopy international open
|February 28, 2025
概括
混合穿皮内镜胃口术 (PEG) 技术和直接穿刺提供了类似的安全性,两者都优于拉透方法. 胃外术显著减少了PEG手术中的重大和小并发症.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术 进行内镜手术
- 外科手术的安全性
背景情况:
- 穿皮内镜胃口 (PEG) 插入的直接穿孔技术被认为比经典的拉透技术更安全.
- 这项研究评估了混合PEG技术的安全性,该技术将胃与拉通方法结合起来.
研究的目的:
- 分析混合PEG技术的安全性,与直接穿孔和拉透技术相比.
- 确定胃术对PEG插入期间并发症率的影响.
主要方法:
- 从2016年1月至2021年12月期间接受PEG插入的患者的临床数据的回顾性分析.
- 在混合PEG,直接刺穿和拉透技术中比较并发症率 (主要和次要).
- 单变量和多变量分析以评估患者特征和并发症相关性.
主要成果:
- 混合PEG技术 (n=351) 和直接穿刺 (n=145) 在重大或小并发症率上没有显著差异.
- 拉透技术 (n=1073) 与胃术技术相比,主要并发症发生率高出五倍,轻微并发症发生率增加一倍.
- 多变量分析证实了胃作为对重大并发症的保护因素 (OR 0.166,P < 0.001).
结论:
- 混合PEG和直接穿孔技术对于PEG插入同样安全.
- 混合PEG和直接穿孔都显示出明显更好的安全概况,而不是拉通技术.
- 这些发现表明,由于其处理和安全优势,优先使用混合PEG技术.
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