Wang Biao,Lou Jingan,Fu Xingpeng,et al.One pediatric case of ultrasound-assisted percutaneous endoscopic gastrostomy[J].Journal of Clinical Pediatric Surgery,2022,21(08):798-800.[doi:10.3760/cma.j.cn101785-202111003-018]
超声辅助经皮内镜下小儿胃造瘘术1例
- Title:
- One pediatric case of ultrasound-assisted percutaneous endoscopic gastrostomy
- 摘要:
- 经皮内镜下胃造瘘术(percutaneous endoscopic gastrostomy,PEG)是一种在内镜引导下经上腹壁进行的胃造瘘方式。PEG由于具有创伤小、手术时间短、恢复快等优势,成为需要长期肠内营养支持患者的首选方法。但该技术在儿科开展的风险和难度相对较大,目前国内鲜有报道。部分儿童因基础疾病复杂、腹腔空间小、肥胖、左肝肥大等干扰因素,使PEG的风险增加,为避免术中损伤周围脏器和血管,常需要腹腔镜辅助。但对于各种原因致无法行腹腔镜辅助,且体表可供穿刺点存在局限的患儿,超声作为一种无创便捷的检查技术,可与PEG的优点相结合,提高PEG的安全性和成功率。浙江大学医学院附属儿童医院对一例既往有多次腹腔手术史的患儿,成功实施超声辅助经皮内镜下胃造瘘术。
参考文献/References:
[1] Rahnemai-Azar AA,Rahnemaiazar AA,Naghshizadian R,et al.Percutaneous endoscopic gastrostomy:indications,technique,complications and management[J].World J Gastroenterol,2014,20(24):7739-7751.DOI:10.3748/wjg.v20.i24.7739.
[2] 欧文辉,段守兴,符马贤,等.早期微量肠内营养对先天性胃壁肌层缺损术后恢复的影响[J].临床小儿外科杂志,2021,20(3):263-267.DOI:10.12260/lcxewkzz.2021.03.012. Ou WH,Duan SX,Fu MX,et al.Effect of early enteral nutrition on postoperative treatment of congenital defects of gastric musculature[J].J Clin Ped Sur,2021,20(3):263-267.DOI:10.12260/lcxewkzz.2021.03.012.
[3] 陈思曾,朱景法,刘森峰,等.经皮内镜下胃造口术与外科胃造口术的对比研究[J].肠外与肠内营养,2010,17(3):147-152.DOI:10.3969/j.issn.1007-810X.2010.03.007. Chen SZ,Zhu JF,Liu SF,et al.Comparative study between percutaneous endoscopic gastrostomy and surgical gastrostomy[J].Parenteral&Enteral Nutrition,2010,17(3):147-152.DOI:10.3969/j.issn.1007-810X.2010.03.007.
[4] 李慧雯,龚四堂,杨敏,等.经皮内镜下胃造瘘术在儿科应用的疗效分析[J].中华儿科杂志,2016,54(2):145-149.DOI:10.3760/cma.j.issn.0578-1310.2016.02.015. Li HW,Gong ST,Yang M,et al.Efficacy of percutaneous endoscopic gastrostomy in pediatric patients[J].Chinese Journal of Pediatrics,2016,54(2):145-149.DOI:10.3760/cma.j.issn.0578-1310.2016.02.015.
[5] Vervloessem D,van Leersum F,Boer D,et al.Percutaneous endoscopic gastrostomy (PEG) in children is not a minor procedure:risk factors for major complications[J].Semin Pediatr Surg,2009,18(2):93-97.DOI:10.1053/j.sempedsurg.2009.02.006.
[6] Merli L,De Marco EA,Fedele C,et al.Gastrostomy placement in children:percutaneous endoscopic gastrostomy or laparoscopic gastrostomy?[J].Surg Laparosc Endosc Percutan Tech,2016,26(5):381-384.DOI:10.1097/SLE.0000000000000310.
[7] Sasaki T,Fukumori D,Sakai K,et al.The safety and feasibility of percutaneous endoscopic gastrostomy placement[J].Hepatogastroenterology,2004,51(58):1062-1065.DOI:10.1002/hed.20037.
[8] Lau G,Lai SH.Fatal retroperitoneal haemorrhage:an unusual complication of percutaneous endoscopic gastrostomy[J].Forensic Sci Int,2001,116(1):69-75.DOI:10.1016/s0379-0738(00)00366-2.
[9] Pars H,?avu?o?lu H.A literature review of percutaneous endoscopic gastrostomy:dealing with complications[J].Gastroenterol Nurs,2019,42(4):351-359.DOI:10.1097/SGA.0000000000000320.
[10] 王志强,陈孝,付永和,等.超声内镜引导下经皮内镜胃造瘘术的临床应用[J].中华消化内镜杂志,2011,28(10):575-576.DOI:10.3760/cma.j.issn.1007-5232.2011.10.012. Wang ZQ,Chen X,Fu YH,et al.Clinical application of percutaneous endoscopic gastrostomy under ultrasonic guidance[J].Chinese Journal of Digestive Endoscopy,2011,28(10):575-576.DOI:10.3760/cma.j.issn.1007-5232.2011.10.012.
[11] 姚全军,胡鸿涛,黎海亮,等.C臂CT引导下经皮胃造瘘术的临床应用[J].中华放射学杂志,2015,49(9):713-714.DOI:10.3760/cma.j.issn.1005-1201.2015.09.016. Yao QJ,Hu HT,Li HL,et al.Clinical application of percutaneous endoscopic gastrostomy under the guidance of C-arm computed tomography[J].Chinese Journal of Radiology,2015,49(9):713-714.DOI:10.3760/cma.j.issn.1005-1201.2015.09.016.
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备注/Memo
收稿日期:2021-11-30。
通讯作者:叶菁菁,Email:6195005@zju.edu.cn