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首页> 外文期刊>Surgical Endoscopy >Complications of percutaneous endoscopic and radiologic gastrostomy tube insertion: a KASID (Korean Association for the Study of Intestinal Diseases) study
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Complications of percutaneous endoscopic and radiologic gastrostomy tube insertion: a KASID (Korean Association for the Study of Intestinal Diseases) study

机译：经皮内窥镜和放射学胃囊术管插入的并发症：KASID（韩国肠疾病研究）研究

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BackgroundGastrostomy tube insertion is beneficial to selected patients, and percutaneous endoscopic gastrostomy (PEG) and percutaneous radiological gastrostomy (PRG) are two of the frequently used methods in gastrostomy. This study aimed to investigate the indications and complications of both PEG and PRG.MethodsThis was a retrospective multicenter cohort study. Patients who underwent initial PEG or PRG tube insertion for nutritional purpose between January 2010 and December 2015at five university hospitals were included in the study. We analyzed the indications and all complications related to gastrostomy, which were divided into the major (systemic or life-threatening) and minor (local and non-life-threatening) categories.ResultsA total of 418 patients who underwent PEG (n=324) and PRG (n=94) were reviewed. The indications for gastrostomy tube insertion were different and included mainly neurological disease (n=240, 74.1%) such as cerebrovascular accident in the PEG group (n=119, 36.7%) and mainly surgical disease (n=28, 29.8%) such as head and neck cancer (n=16, 17.0%) in the PRG group (p=0.05). There were no differences in the minor (16.4% vs. 19.1%, p=0.52) and major (12.3% vs. 14.9%, p=0.51) complication rates between the PEG and PRG groups. The risk factors for complications were age [yearly increments; odds ratio (OR) 1.03, 95% confidence interval (CI) 1.01-1.06], tube diameter (1-Fr increments; OR 1.26, 95% CI 1.01-1.58), insertion time (1-min increments; OR 1.07, 95% CI 1.01-1.13), and neurological disease as the gastrostomy indication (vs. surgical disease; OR 4.61 95% CI 1.47-14.42).ConclusionsIn our study, both PEG and PRG provided a safe route for nutrition delivery despite their different indications. Our data suggest that PEG might be the procedure of choice for patients with medical or neurological disease and PRG for patients with surgical disease in whom PEG is technically difficult or contraindicated.
机译：背景皮下管插入对所选患者有益，并且经皮内窥镜胃术（PEG）和经皮放射性胃术（PRG）是胃术中的两种常用方法。本研究旨在探讨PEG和PRG.Methodsthis的适应症和并发症是一个回顾性的多中心队列研究。在2010年1月和2015年1月之间进行营养目的的初始PEG或PRG管插入的患者纳入了五大大学医院。我们分析了与胃造口术相关的适应症和所有并发症，分为主要（全身或危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及危及生命）的类别。培养佩格（N = 324）的418名患者共有418名患者并审查了PRG（n = 94）。胃造口管插入的适应症是不同的，主要是神经疾病（n = 240,74.1％），例如PEG组中的脑血管事故（n = 119,36.7％），主要是手术疾病（n = 28,29.8％）作为PRG组的头部和颈部癌症（n = 16,17.0％）（p = 0.05）。未成年人（16.4％对19.1％，P = 0.52）和PEG和PRG组之间的主要（12.3％vs.14.9％，P = 0.51）并发症率没有差异。并发症的危险因素是年龄（年增长率;差距（或）1.03,95％置信区间（CI）1.01-1.06]，管直径（1-FR增量;或1.26,95％CI 1.01-1.58），插入时间（1分钟增量;或1.07,95 ％CI 1.01-1.13）和神经疾病作为胃造术指示（与手术疾病;或4.61 95％CI 1.47-14.42）。Conclusionsin我们的研究，尽管他们不同的适应症，但PEG和PRG都提供了营养交付的安全途径。我们的数据表明，PEG可能是医疗或神经系统疾病和PRG的患者的选择手术，佩格在技术上困难或禁忌的手术疾病患者。

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