経皮経食道胃管挿入術(PTEG)を試みた摂食・嚥下障害の3例

概要

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A minimally invasive technique for esophagostomy called percutaneous transesophageal gastrotubing (PTEG) was recently developed. We performed PTEG in 3 patients with dysphagia who were also difficult cases of percutaneous endoscopic gastrostomy (PEG). The first case was a 69-year-old woman with a subarachnoid hemorrhage and a ventricle-peritoneal shunt. The second case was an 81-year-old man with cerebral infarction and post subtotal gastrectomy. The third case was a 64-year-old man with cerebral infarction after aortic arch replacement and coronary artery bypass graft, where the position of the stomach had shifted in the thorax. We established PTEG in the first and the second cases, and it was effective for enteral nutrition in these cases. However, the tips of the gastrotube were sometimes cut off by degradation and the procedure was carried out with endoscopy in the second case. We could not perform PTEG in the third case due to adhesion of cervical lesions and treated the patient with a nasogastric tube. PTEG is as safe and effective for enteral nutrition as PEG, and should be considered a good option when choosing an approach for delivering enteral nutrition.
2006-10-18