Percutaneous endoscopic gastrostomy by the "pull" and "introducer" methods.

摘要: After 28 patients, studied prospectively, underwent percutaneous endoscopic gastrostomy (PEG) by the Ponsky "pull" technique, another patients PEG Russell "introducer" method. These two groups were compared retrospectively with who had previously undergone Stamm as an independent operation performed same group of surgeons. All procedures done within a 5-year period. The major indication for was inability to swallow due neurologic diseases; similar number in each also pharyngeal blockage, cachexia, respiratory failure and inhalation burns. Percutaneous could be most appropriately under local anesthesia, method requiring less time than method, which turn required gastrostomy. Feeding generally instituted successfully 24 hours after 3 days "Introducer" not associated peristomal infection, authors postulate that infections oropharyngeal bacteria brought through abdominal wall technique.