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首页> 外文期刊>Surgical Endoscopy >Complication rate lower after percutaneous endoscopic gastrostomy than after surgical gastrostomy: a prospective, randomized trial.
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Complication rate lower after percutaneous endoscopic gastrostomy than after surgical gastrostomy: a prospective, randomized trial.

机译：经皮内镜下胃造口术后的并发症发生率低于手术胃造口术后：一项前瞻性，随机试验。

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BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) has increasingly replaced surgical gastrostomy (SG) as the primary procedure for the long-term nutrition of patients with swallowing disorders. This prospective randomized study compares PEG with SG in terms of effectiveness and safety. METHODS: This study enrolled 70 patients with swallowing disorders, mainly attributable to neurologic impairment. All the patients, eligible for both techniques, were randomized to PEG (pull method) or SG. The groups were comparable in terms of age, body mass index, and underlying diseases. Complications were reported 7 and 30 days after the operative procedure. RESULTS: The procedures were successfully completed for all the patients. The median operative time was 15 min for PEG and 35 min for SG (p < 0.001). The rate of complications was lower for PEG (42.9%) than for SG (74.3%; p < 0.01). The 30-day mortality rates were 5.7% for PEG and 14.3% for SG (nonsignificant difference). CONCLUSION: The findings show PEG to be an efficient method for gastrostomy tube placement with a lower complication rate than SG. In addition, PEG is faster to perform and requires fewer medical resources. The authors consider PEG to be the primary procedure for gastrostomy tube placement.
机译：背景：经皮内镜下胃造口术（PEG）逐渐取代了手术胃造口术（SG），成为吞咽障碍患者长期营养的主要方法。这项前瞻性随机研究在有效性和安全性方面比较了PEG和SG。方法：本研究招募了70例吞咽障碍患者，主要归因于神经系统损害。所有符合这两种技术的患者均被随机分为PEG（拉法）或SG。两组在年龄，体重指数和潜在疾病方面具有可比性。在手术后7天和30天报告并发症。结果：所有患者均成功完成了手术。 PEG的中位手术时间为15分钟，SG的中位手术时间为35分钟（p <0.001）。 PEG（42.9％）的并发症发生率低于SG（74.3％; p <0.01）。 PEG 30天死亡率为5.7％，SG 30天死亡率为14.3％（无显着性差异）。结论：研究结果表明PEG是一种胃造瘘管置入的有效方法，其并发症发生率低于SG。此外，PEG的执行速度更快，所需的医疗资源更少。作者认为PEG是放置胃造口管的主要步骤。

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