经皮内镜下胃/空肠造口置管术在重症急性胰腺炎病人肠内营养治疗中的应用

Clinical application of percutaneous endoscopic gastrojejunostomy in enteral nutrition for severe acute pancreatitis

目的:经皮内镜下胃/空肠造口置管术(PEG/J)在重症急性胰腺炎(SAP)病人肠内营养(EN)治疗中的可行性。方法:观察92例SAP病人接受PEG/J的置管时间、成功率、并发症和导管留置时间等指标。结果:平均置管时间为(17.7±4.2)min,成功率为97.8%(90/92),未发生置管相关并发症,置管后并发症的发生率为7.7%(7/90),平均导管留置时间为(76.6±26.8)d。结论:采用PEG/J对SAP病人早期行EN支持治疗具有操作简便、安全有效、病人耐受良好、可长期帯管等优点。

Objective：To investigate the usage of percutaneous endoscopic gastrojejunostomy （PEG/J） in enteral nutrition for severe acute pancreatitis.Methods：From July 2001 to December 2013,92 severe acute pancreatitis patients received percutaneous endoscopic gastrojejunostomy,including 58 males and 34 females.The duration,successful rate,complications of this procedure and the working time of the tubes were recorded.Results：Tubes were successfully placed in 97.8％ with an average time of （17.7 ±4.2） min.No procedure related complications were observed.One case of tube occulusion（5.5％）,and another case of wound infection（2.2％） were found.The working time of the tubes were （76.6 ± 26.8） d.Conclusion：Percutaneous endoscopic gastrojejunostomy is easily handled,effective and safe.PEG/J has the advantage of well-tolerated by patients and is particularly useful for severe acute pancreatitis patients.