经皮内镜下胃、空肠造瘘术在肠内营养之外的临床应用研究进展
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摘要
经皮内镜下胃造瘘术(percutaneous endoscopic gastrostomy,PEG)及经皮内镜下空肠造瘘术(percutaneous endoscopic jejunostomy,PEJ)因具有安全、简便、效果佳、经济等优点,在临床上越来越多地被采用和推广。其早期主要应用于肠内营养,但随着临床应用的增多,其适应证也不断扩大,除肠内营养外,PEG及PEJ还可应用于消化道瘘、胃肠梗阻、胆道梗阻、胃扭转、顽固性腹水及中枢神经系统性病变等。现对PEG及PEJ在肠内营养支持以外的临床应用相关进展作一概述。
Percutaneous endoscopic gastrostomy( PEG) and percutaneous endoscopic jejunostomy( PEJ) are widely used and spread in clinic because of their advantages of safety,simplicity,high efficiency and low price. It is mainly used in enteral nutrition in early stage. But with the increase of clinical application,its indication is constantly expanding. Except enteral nutrition,PEG and PEJ can also be used in gastrointestinal fistula,gastric ileus,biliary obstruction,gastric volvulus,obstinate ascites and central nervous system diseases. This article reviewed the progress of PEG and PEJ in clinical application except enteral nutrition support.
Percutaneous endoscopic gastrostomy( PEG) and percutaneous endoscopic jejunostomy( PEJ) are widely used and spread in clinic because of their advantages of safety,simplicity,high efficiency and low price. It is mainly used in enteral nutrition in early stage. But with the increase of clinical application,its indication is constantly expanding. Except enteral nutrition,PEG and PEJ can also be used in gastrointestinal fistula,gastric ileus,biliary obstruction,gastric volvulus,obstinate ascites and central nervous system diseases. This article reviewed the progress of PEG and PEJ in clinical application except enteral nutrition support.
引文
[1]GAUDERER M W,PONSKY J L,IZANT R J.Gastrostomy without laparotomy:a percutaneous endoscopic technique[J].J Pediatr Surg,1980,15(6):872-875.
[2]SANTOS C A,PEREIRA M,MARTINS V S,et al.Traqueoesophageal fistula patients fed through percutaneous endoscopic gastrostomy/gastrojejunostomy:nutritional status and clinical outcome[J].Nutr Hosp,2015,32(2):691-695.DOI:10.3305/nh.2015.32.2.9078.
[3]贾莉,李易晨,吕志武,等.经皮内镜下胃造瘘空肠置管术在高位肠外瘘患者中的临床应用[J].胃肠病学和肝病学杂志,2012,21(3):275-278.DOI:10.3969/j.issn.1006-5709.2012.03.024.JIA L,LI Y C,LYU Z W,et al.Clinical application of percutaneous endoscopic gastrojejunostomy in high gastrointestinal fistula patients[J].Chin J Gastroenterol Hepatol,2012,21(3):275-278.DOI:10.3969/j.issn.1006-5709.2012.03.024.
[4]HARA M,TAKAYAMA S,TAKEYAMA H.Percutaneous endoscopic gastrojejunostomy for a patient with an intractable small bowel injury after repeat surgeries:a case report[J].J Med Case Rep,2011,5:55.DOI:10.1186/1752-1947-5-55.
[5]DITTRICH A,SCHUBERT B,KRAMER M,et al.Benefits and risks of a percutaneous endoscopic gastrostomy(PEG)for decompression in patients with malignant gastrointestinal obstruction[J].Support Care Cancer,2017,25(9):2849-2856.DOI:10.1007/s00520-017-3700-1.
[6]KAWATA N,KAKUSHIMA N,TANAKA M,et al.Percutaneous endoscopic gastrostomy for decompression of malignant bowel obstruction[J].Dig Endosc,2014,26(2):208-213.DOI:10.1111/den.12139.
[7]MICHAUD L,GUIMBER D,CARPENTIER B,et al.Gastrostomy as a decompression technique in children with chronic gastrointestinal obstruction[J].J Pediatr Gastroenterol Nutr,2001,32(1):82-85.
[8]丁凯,汪志明,江志伟.经PEJ肠内营养在肠系膜上动脉压迫综合征治疗中的作用[J].肠外与肠内营养,2009,16(2):84-86.DOI:10.3969/j.issn.1007-810X.2009.02.006.DING K,WANG Z M,JIANG Z W.The use of enteral nutritional support in treating superior mesenteric artery syndrome[J].Parenteral&Enteral Nutrition,2009,16(2):84-86.DOI:10.3969/j.issn.1007-810X.2009.02.006.
[9]AUVIN S,MICHAUD L,GUIMBER D,et al.Percutaneous endoscopic jejunostomy for decompression in an infant with short-bowel syndrome[J].Endoscopy,2002,34(3):240.DOI:10.1055/s-2002-20300.
[10]DAIGLE C R,BOULES M,CORCELLES R,et al.Percutaneous endoscopic gastrostomy for decompression of nonmalignant gastrointestinal disease[J].J Laparoendosc Adv Surg Tech A,2015,25(10):804-807.DOI:10.1089/lap.2014.0619.
[11]SHU J C,YANG Q H,LV X,et al.Percutaneous endoscopic gastrostomy/jejunostomy combined with percutaneous transhepatic biliary drainage in treating malignant biliary obstruction[J].Med Princ Pract,2011,20(1):47-50.DOI:10.1159/000322073.
[12]TSANG T K,JOHNSON Y L,POLLACK J,et al.Use of single percutaneous endoscopic gastrostomy in management of gastric volvulus in three patients[J].Dig Dis Sci,1998,43(12):2659-2665.
[13]LORENTZEN T,SENGELV L,NOLSE C P,et al.Ultrasonically guided insertion of a peritoneo-gastric shunt in patients with malignant ascites[J].Acta Radiol,1995,36(5):481-484.
[14]MATSUMOTO K,KATO H,TSUTSUMI K,et al.Successful biliary drainage using a metal stent through the gastric stoma[J].World JGastroenterol,2015,21(24):7594-7597.DOI:10.3748/wjg.v21.i24.7594.
[15]史嵘,王韵,刘月珍.假性球麻痹患者肺部感染与经皮内镜下胃造瘘术的相关分析[J].临床荟萃,2014,29(10):1162-1164.DOI:10.3969/j.issn.1004-583X.2014.10.019.SHI R,WANG Y,LIU Y Z.Correlation of pulmonary infection caused by pseudobulbar palsy with percutaneous endoscopic gastrostomy[J].Clinical Focus,2014,29(10):1162-1164.DOI:10.3969/j.issn.1004-583X.2014.10.019.
[2]SANTOS C A,PEREIRA M,MARTINS V S,et al.Traqueoesophageal fistula patients fed through percutaneous endoscopic gastrostomy/gastrojejunostomy:nutritional status and clinical outcome[J].Nutr Hosp,2015,32(2):691-695.DOI:10.3305/nh.2015.32.2.9078.
[3]贾莉,李易晨,吕志武,等.经皮内镜下胃造瘘空肠置管术在高位肠外瘘患者中的临床应用[J].胃肠病学和肝病学杂志,2012,21(3):275-278.DOI:10.3969/j.issn.1006-5709.2012.03.024.JIA L,LI Y C,LYU Z W,et al.Clinical application of percutaneous endoscopic gastrojejunostomy in high gastrointestinal fistula patients[J].Chin J Gastroenterol Hepatol,2012,21(3):275-278.DOI:10.3969/j.issn.1006-5709.2012.03.024.
[4]HARA M,TAKAYAMA S,TAKEYAMA H.Percutaneous endoscopic gastrojejunostomy for a patient with an intractable small bowel injury after repeat surgeries:a case report[J].J Med Case Rep,2011,5:55.DOI:10.1186/1752-1947-5-55.
[5]DITTRICH A,SCHUBERT B,KRAMER M,et al.Benefits and risks of a percutaneous endoscopic gastrostomy(PEG)for decompression in patients with malignant gastrointestinal obstruction[J].Support Care Cancer,2017,25(9):2849-2856.DOI:10.1007/s00520-017-3700-1.
[6]KAWATA N,KAKUSHIMA N,TANAKA M,et al.Percutaneous endoscopic gastrostomy for decompression of malignant bowel obstruction[J].Dig Endosc,2014,26(2):208-213.DOI:10.1111/den.12139.
[7]MICHAUD L,GUIMBER D,CARPENTIER B,et al.Gastrostomy as a decompression technique in children with chronic gastrointestinal obstruction[J].J Pediatr Gastroenterol Nutr,2001,32(1):82-85.
[8]丁凯,汪志明,江志伟.经PEJ肠内营养在肠系膜上动脉压迫综合征治疗中的作用[J].肠外与肠内营养,2009,16(2):84-86.DOI:10.3969/j.issn.1007-810X.2009.02.006.DING K,WANG Z M,JIANG Z W.The use of enteral nutritional support in treating superior mesenteric artery syndrome[J].Parenteral&Enteral Nutrition,2009,16(2):84-86.DOI:10.3969/j.issn.1007-810X.2009.02.006.
[9]AUVIN S,MICHAUD L,GUIMBER D,et al.Percutaneous endoscopic jejunostomy for decompression in an infant with short-bowel syndrome[J].Endoscopy,2002,34(3):240.DOI:10.1055/s-2002-20300.
[10]DAIGLE C R,BOULES M,CORCELLES R,et al.Percutaneous endoscopic gastrostomy for decompression of nonmalignant gastrointestinal disease[J].J Laparoendosc Adv Surg Tech A,2015,25(10):804-807.DOI:10.1089/lap.2014.0619.
[11]SHU J C,YANG Q H,LV X,et al.Percutaneous endoscopic gastrostomy/jejunostomy combined with percutaneous transhepatic biliary drainage in treating malignant biliary obstruction[J].Med Princ Pract,2011,20(1):47-50.DOI:10.1159/000322073.
[12]TSANG T K,JOHNSON Y L,POLLACK J,et al.Use of single percutaneous endoscopic gastrostomy in management of gastric volvulus in three patients[J].Dig Dis Sci,1998,43(12):2659-2665.
[13]LORENTZEN T,SENGELV L,NOLSE C P,et al.Ultrasonically guided insertion of a peritoneo-gastric shunt in patients with malignant ascites[J].Acta Radiol,1995,36(5):481-484.
[14]MATSUMOTO K,KATO H,TSUTSUMI K,et al.Successful biliary drainage using a metal stent through the gastric stoma[J].World JGastroenterol,2015,21(24):7594-7597.DOI:10.3748/wjg.v21.i24.7594.
[15]史嵘,王韵,刘月珍.假性球麻痹患者肺部感染与经皮内镜下胃造瘘术的相关分析[J].临床荟萃,2014,29(10):1162-1164.DOI:10.3969/j.issn.1004-583X.2014.10.019.SHI R,WANG Y,LIU Y Z.Correlation of pulmonary infection caused by pseudobulbar palsy with percutaneous endoscopic gastrostomy[J].Clinical Focus,2014,29(10):1162-1164.DOI:10.3969/j.issn.1004-583X.2014.10.019.