[原著］経皮内視鏡的胃瘻造設術後2ケ月以内の短期合併症症例の検討

概要

論文の詳細を見る
From August 1994 through August 2000, a percutaneous endoscopic gastrostomy (PEG) was performed in 22 patients, age range, 64 to 99 years. PEG under local anesthesia has been reported to be a safer and a more simple type of gastrostomy, than conventional gastrostomy under general anesthesia. The patients who underwent PEG consisted of 16 cases with post-cerebral vascular disease, 2 cases of Parkinson's disease, 1 case of brain anoxia and others. All 22 patients underwent the Introducer method for PEG. In addition, in fourteen of the cases, Funada's method was also used. No major complications, such as pan-peritonitis, or intra-abdominal bleeding, etc., were encountered. On the other hand, minor complications occurred in two cases (9%). This involved leakage near the catheter in one patient and gastric wall injury during a puncture maneuver in another patient, causing hematoma in the stomach wall, in which the Funada's fixed instrument was not used. In conclusion, we suggest that Funada's fixed instrument should be used in all cases in order to prevent complications. The PEG using the Introducer method with Funada's fixed instrument is a safe and a simple procedure.
琉球医学会,Ryukyu Medical Associationの論文