経皮内視鏡的胃瘻造設術(Percutaneous Endoscopic Gastrostomy:PEG)造設部位と感染症に関する検討

概要

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Wounded area infection in a percutaneous endoscopic gastrostomy (PEG) was examined for the infection in gastric fistula. 15 patients (males: 7, females: 8) . A mean age was 75.2 years (58-91 years old) . Five infectees and ten non-infectees. Distance from costa to gastric fistula was on the average 4.6 cm. Distance in the patients who had infection was on average 2.4 cm, distance in the patients who did not have infection was on average 5.7 cm. Distance from midline to gastric fistula was on the average 2.3 cm. Distance in the patients who had infection was on average 5.8 cm, distance in the patients who did not have infection was on average 0.6 cm. If there is not have infection, gastric fistula is used afterwards within two or three days. The patients who did not have infection did not have the trouble afterwards as far as we could chase it. If distance from costa is more than 5 cm, infection does not occur. In addition, the infection did not occur so that it was almost midline. When PEG is constructs, it is necessary more than 5cm at distance from costa to gastric fistula at least, and it is constructs at the place that is near to midline. It is supposed that can prevent an infection of postoperative by doing the above.
学校法人昭和大学・昭和医学会の論文