경피 내시경하 위루술의 고찰 = Clinical Review of Percutaneous Endoscopic Gastrostomy

다국어 초록 (Multilingual Abstract)

Percutaneous endoscopic gastrostomy (PEG) was introduced into clinical practice in 1980 and has become a preferred method of feeding gastrostomy tube placement. Since our first description 1986 in Korea, PEG has supplanted its surgical counterpart in many Korean institutions. During the periods from January 1986 to December 1990, we have managed 102 patients with a PEG. This study reviewed our experience with PEG with respect to the incidence of PEG-related problems and the efficacy of the procedure. 1) Mean age of patients were 43 years(range 15∼78), Primary diagnosis in 102 patients undergoing PEG was head trauma; 63, stoke; 20, CO poisoning; 4, brain tumor; 2, esophageal cancer; 5, cardiac cancer; 6, esophageal poerforation; 1, esophagobronchial fistula; 1.
2) PEG was succesful in 95 patients (93％) and mean operation time was 15 minutes (range 9∼42). Seven patients failed to have a gastrostomy placed for technical reasons including; previous gastrectomy; 2, no transillumination; 2, broken silk suture during procedure; 2, large ventral hernia; 1.
3) The PEG tubes remained well in 88 patients with functioning over 3 months and the longest functioning of PEG tube was 27 months to date.
4) Weight gain was noted in 66 of 88 patients (75％) and mean weight gain was 38％.
5) The incidence of PEG-related complications was 18％ and three postoperative death occurred which were related to the patients underlying disease.
This author's experience with these 102 patients has led to the conclusion that PEG is safe, easy to perform, and effective means of establishing access for enteral feeding.Key Words: Percutaneous endoscopic gastrostomy, enteral feeding.