［原著］当科における経皮内視鏡的胃療造設術症例の検討

概要

論文の詳細を見る
In our department, from April 2002 through August 2005, a percutaneous endoscopic gastrostomy (PEG) was performed on 29 patients ranging from 16 to 90 years of age. PEG is a simpler type of gastrostomy than a laparotomical gastrostomy. The purpose of this study was to evaluate the post PEG complications and prognosis. All 29 patients underwent the Introducer method for PEG. There was only one complicated patient with bleeding disorder that was associated with acquired hemophilia A. She had poor blood coagulation data as revealed by the prolonged of APTT without DIC (Disseminated intravascular coagulation). This patient finally died due to complications resulting from bilateral aspiration pneumonia, cerebral infarction and uncontrolled bleeding from the fistula following PEG. Regarding the prognosis of these patients, only three patients survived for 2 years, while no patient survived for more than 3 years. The coagulation functions, such as APTT and PT, were fully evaluated before PEG m all patients. If this step is performed, PEG is thus considered to be a safe and useful procedure
琉球医学会,Ryukyu Medical Associationの論文