高龄衰弱患者X线透视下经皮内镜下胃造瘘转为经皮内镜下空肠造瘘技术

Conversion of Percutaneous Endoscopic Gastrostomy to Percutaneous Endoscopic Jejunostomy under Fluoroscopic Guidance for Debilitated Elderly

摘要:
目的探讨高龄衰弱患者在X线透视下将经皮内镜下胃造瘘(percutaneous endoscopic gastrostomy, PEG)转为经皮内镜下空肠造瘘(percutaneous endoscopic jejunostomy, PEJ)的技术, 并评价其安全性和可行性。
方法对2009年1月至2011年4月在本院行X线透视下PEG转为PEJ的12例高龄衰弱患者进行回顾性分析。
结果 12例患者共行16例次操作, 技术成功率100%, 操作时间8~32 min, 平均18 min, 无并发症发生。
结论 X线透视下采用介入放射学技术将PEG转为PEJ安全可行。

Abstract:
Objective To explore the value of the conversion of percutaneous endoscopic gastrostomy (PEG) to percutaneous endoscopic jejunostomy (PEJ) under fluoroscopic guidance for the debilitated elderly.
Methods The clinical data of 12 debilitated elderly patients who underwent the conversion of PEG to PEJ under fluoroscopic guidance from January 2009 to April 2011 were retrospectively analyzed.
Results Technical success was achieved in all these patients after 16 times of conversion. The procedure time was 8 to 32 minutes (mean:18 minutes). No complications occurred.
Conclusion Conversion of PEG to PEJ under fluoroscopic guidance is safe and feasible.