Tags

Type your tag names separated by a space and hit enter

[Clinical application of percutaneous endoscopic gastrostomy/jejunostomy].
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2008 Jun; 30(3):249-52.ZY

Abstract

OBJECTIVE

To summarize the clinical experiences in percutaneous endoscopic gastrostomy (PEG)/percutaneous endoscopic jejunostomy (PEJ).

METHODS

We retrospectively analyzed the clinical data of 578 patients who received either PEG or PEJ from July 2001 to December 2007 in our hospital. The data analyzed included the type, aim, duration, success rate, and complications of these procedures.

RESULTS

Of 578 patients, 247 patients underwent PEG, 293 patients underwent percutaneous endoscopic gastrojejunostomy (PEGJ), 4 patients received percutaneous endoscopic duodenostomy (PED), 4 patients underwent direct percutaneous endoscopic jejunostomy (DPEJ), 4 patients underwent percutaneous endoscopic colostomy (PEC), and 26 patients received PEG/J combined stents. These procedures were performed in different clinical conditions, including enteral nutrition (n = 329), decompression combined enteral nutrition (n = 133), decompression of the gastrointestinal tract (n = 103), enteral nutrition combined bile refeeding (n = 5), perioperative applications (n = 4), and coloclysis (n = 4). Tubes were successfully placed in 578 patients (98.0%) in an average time of (7.5 +/- 1.9) min in PEG, (17.7 +/- 4.2) min in PEGJ, (14.8 +/- 2.1) min in DPEJ, (12.3 +/- 2.5) min in PED, (11.3 +/- 2.6) min in PEC, and (30.2 +/- 5.2) min in PEG/J combined stent, respectively. No procedure-related complications were observed. Major complications were found in 6 patients (1.04%) and minor complications in 36 patients (6.23%). The duration of tube functioning was (168.37 +/- 198.64) d.

CONCLUSIONS

PEG/PEJ are easy to handle, effective, safe, and convenient for nursing. The endoscopic method of tube placement can be performed at the bedside and allow for enteral feeding, gastrointestinal decompression, and internal biliary drainage to be rapidly and efficiently achieved.

Authors+Show Affiliations

Research Institute of General Surgery, Nanjing General Hospital of PLA, Nanjing Military Command, Nanjing 210002, China. wzmdoc@163.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

18686599

Citation

Wang, Zhi-Ming, et al. "[Clinical Application of Percutaneous Endoscopic Gastrostomy/jejunostomy]." Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae, vol. 30, no. 3, 2008, pp. 249-52.
Wang ZM, Jiang ZW, Diao YQ, et al. [Clinical application of percutaneous endoscopic gastrostomy/jejunostomy]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2008;30(3):249-52.
Wang, Z. M., Jiang, Z. W., Diao, Y. Q., Wu, S. M., Ding, K., Li, N., & Li, J. S. (2008). [Clinical application of percutaneous endoscopic gastrostomy/jejunostomy]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae, 30(3), 249-52.
Wang ZM, et al. [Clinical Application of Percutaneous Endoscopic Gastrostomy/jejunostomy]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2008;30(3):249-52. PubMed PMID: 18686599.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Clinical application of percutaneous endoscopic gastrostomy/jejunostomy]. AU - Wang,Zhi-Ming, AU - Jiang,Zhi-Wei, AU - Diao,Yan-Qing, AU - Wu,Su-Mei, AU - Ding,Kai, AU - Li,Ning, AU - Li,Jie-Shou, PY - 2008/8/9/pubmed PY - 2010/5/29/medline PY - 2008/8/9/entrez SP - 249 EP - 52 JF - Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae JO - Zhongguo Yi Xue Ke Xue Yuan Xue Bao VL - 30 IS - 3 N2 - OBJECTIVE: To summarize the clinical experiences in percutaneous endoscopic gastrostomy (PEG)/percutaneous endoscopic jejunostomy (PEJ). METHODS: We retrospectively analyzed the clinical data of 578 patients who received either PEG or PEJ from July 2001 to December 2007 in our hospital. The data analyzed included the type, aim, duration, success rate, and complications of these procedures. RESULTS: Of 578 patients, 247 patients underwent PEG, 293 patients underwent percutaneous endoscopic gastrojejunostomy (PEGJ), 4 patients received percutaneous endoscopic duodenostomy (PED), 4 patients underwent direct percutaneous endoscopic jejunostomy (DPEJ), 4 patients underwent percutaneous endoscopic colostomy (PEC), and 26 patients received PEG/J combined stents. These procedures were performed in different clinical conditions, including enteral nutrition (n = 329), decompression combined enteral nutrition (n = 133), decompression of the gastrointestinal tract (n = 103), enteral nutrition combined bile refeeding (n = 5), perioperative applications (n = 4), and coloclysis (n = 4). Tubes were successfully placed in 578 patients (98.0%) in an average time of (7.5 +/- 1.9) min in PEG, (17.7 +/- 4.2) min in PEGJ, (14.8 +/- 2.1) min in DPEJ, (12.3 +/- 2.5) min in PED, (11.3 +/- 2.6) min in PEC, and (30.2 +/- 5.2) min in PEG/J combined stent, respectively. No procedure-related complications were observed. Major complications were found in 6 patients (1.04%) and minor complications in 36 patients (6.23%). The duration of tube functioning was (168.37 +/- 198.64) d. CONCLUSIONS: PEG/PEJ are easy to handle, effective, safe, and convenient for nursing. The endoscopic method of tube placement can be performed at the bedside and allow for enteral feeding, gastrointestinal decompression, and internal biliary drainage to be rapidly and efficiently achieved. SN - 1000-503X UR - https://www.unboundmedicine.com/medline/citation/18686599/[Clinical_application_of_percutaneous_endoscopic_gastrostomy/jejunostomy]_ L2 - http://www.actacams.com/article/2008/1000-503X/1000-503X-30-3-249.pdf DB - PRIME DP - Unbound Medicine ER -