POST PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG) WOUND BLEEDING PREVENTED BY AVOIDING ABDOMINAL WALL SUBCUTANEOUS VESSELS DURING SKIN INCISION

概要

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Wound bleeding post percutaneous endoscopic gastrostomy (PEG) is a known complication that occurs in the early stage post PEG. The present study determined whether wound bleeding could be prevented by not penetrating abdominal wall subcutaneous vessel, having identified them using light transmitted by the endoscope during skin incision. One hundred forty-four patients were divided in to three groups : the small PEG puncuture region incision (small incision) group (n=20) ; the large PEG puncture region incision (large incision) group (n=38) ; and the large incision that avoided transmitted vessels (large incision avoiding transmitted vessels) group (n=86). The frequency of wound bleeding and the frequency of peristomal wound infection were compared between 3 groups. In the small incision group, and the large incision avoiding transmitted vessels group, the frequency of wound bleeding was 0%, whereas the large incision group the frequency was 7.0%. In small incision group ; the peristomal wound infection rate was 10%, it was 2.3% the large incision group and 0% in the large incision avoiding transmitted vessels group. The identification of the subcutaneous blood vessel using the transmission illumination of the endoscope prevented wound bleeding, the transmitted vessels could kept away from the skin incision site.
社団法人日本消化器内視鏡学会の論文