PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG) IN CANCER-PATIENTS

被引：17

作者：

ZERA, RT

NAVA, HR

FISCHER, JI

机构：

[1] Hennepin County Medical Center, Minneapolis, 55415, MN

[2] Roswell Park Cancer Institute, Buffalo, 14263, NY, Elm and Carlton Streets

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1993年 / 7卷 / 04期

关键词：

PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; ND-YAG LASER ABLATION; CANCER;

D O I：

10.1007/BF00725945

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Ninety-nine cancer patients underwent PEG placement attempt at Rosewell Park Cancer Institute between January 1, 1985, and December 1, 1987. Ninety-eight of these were successful and were retrospectively reviewed to determine if cancer patients constitute a high-risk group for PEG placement. Procedure-related mortality was 2% and morbidity was 19%. Morbidity of 17% was noted at less than 30 days and 2% had late complications. Six complications were considered serious with peritonitis in 3 and tube loss in 3 patients; an additional 4 patients had a failure of adequate GI tract decompression which was the indication for their PEG placement. Ascites was a major factor in morbidity with 4 of 5 patients with ascites having complications including the 2 deaths. Overall major morbidity was not increased in cancer patients without ascites including a group of patients with carcinomatosis (18 patients) and 22 patients requiring preoperative dilatation and/or tumor ablative procedures. We conclude that morbidity in cancer patients is not increased if one excludes those with ascites from the procedure

引用

页码：304 / 307

页数：4

共 16 条

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