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Rehabilitation Practice and Science

Translated Title

經皮內視鏡胃造廔術：長期管灌飲食患者的另一種選擇

Abstract

Dysphagia is a common problem in rehabilitation service. Tube feeding is mandatory for patients unable to achieve the goal of oral feeding despite comprehensive rehabilitation training. Percutaneous endoscopic gastrostomy (PEG) has been widely used for patients requiring tube feeding in the past 20 years; however, its long-term complications and satisfaction have seldom been mentioned in Taiwan. The purpose of this study was to investigate the acute complications and long-term problems in pat-ients who received PEG. The result might provide the clinicians valuable information in managing the patients requiring long-term tube feeding. This study was a retrospective case note analysis and tele-phone survey of 30 patients receiving PEG within a period of one year in a teaching hospital. The maj-ority of these patients receiving PEG were due to stroke (60%) and nasopharyngeal carcinoma (13%). Of the 30 patients, 4(13.3%) developed wound infection during their hospitalization following PEG, one developed aspiration pneumonia, one developed peritonitis, and one had upper gastrointestinal bleeding. 73% of the patients required changing dressing only once daily after discharge from the hospital. The problems of the PEG described by the patients included discharge around PEG stoma (20%), wound pain (13.3%), tube extrusions (13.3%), constipation (10%), diarrhea (3%), and clogged tubes (3%). Subjectively, 73% of the patients considered that the PEG was more convenient than the nasogastric tube, and 20% of the patients increased their social activities after instituting PEG. Generally speaking, 60% of the patients felt satisfactory or very satisfactory with usage of PEG. We concluded that there were few acute or long-term major complications in PEG placement. The patients with swallowing disorders could tolerate PEG well, and might further increase their social activities after PEG. We believe that PEG is another choice for patients with long-term tube feeding.

Language

Traditional Chinese

First Page

139

Last Page

144

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