胃内定位作为Peg并发症的决定因素:对近位和远位位置的比较分析
Suat Evirgen1, Şirin Çetin2, Şencan Acar3
1Department of General Surgery, Medical Faculty, Amasya University, Amasya 05100, Turkey.
Medicina (Kaunas, Lithuania)
|January 28, 2026
概括
穿皮内镜胃口 (PEG) 管在远部胃部的放置显著增加并发症的风险,相比近端的放置. 优先考虑近位定位可以提高PEG手术期间的患者安全.
科学领域:
- 胃肠病学 胃肠病学
- 手术手术手术手术手术手术手术手术手术手术
- 患者安全 患者安全
背景情况:
- 穿皮内镜胃口术 (PEG) 对于长期的肠道营养至关重要.
- 胃内管位置对PEG并发症的影响尚不清楚.
- 识别PEG并发症的危险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 调查近端与远端胃内PEG管放置是否影响并发症率.
- 为了确定与PEG相关并发症相关的患者特异性风险因素.
主要方法:
- 对268名首次进行PEG插入的成年患者的回顾性分析.
- 分类为近端 (A组) 和远端 (B组) 的胃内放置组.
- 记录人口统计数据,BMI,并发症,抗凝剂使用和并发症类型/时间/严重程度.
主要成果:
- 远端PEG放置与明显更高的并发症率 (30.6%) 与近端放置 (14.1%) 相比.
- 远距离放置导致并发症的几率比率为2.7;早期,晚期,轻微和重大并发症更频繁.
- 低BMI和男性性别被确定为增加并发症的重要危险因素.
结论:
- 远程胃内PEG管的放置与严重增加的并发症风险有关.
- 在可行的情况下,建议优先考虑近位PEG放置,以减轻风险并提高患者的安全.
- 对优化PEG安置策略的进一步研究是有必要的.
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