[Clinical experience of percutaneous endoscopic gastrostomy, jejunostomy, duodenostomy in 120 patients].
OBJECTIVE
To report clinical experience of percutaneous endoscopic gastrostomy, duodenostomy, jejunostomy in 120 patients, focusing on its technique and indications.


METHODS
One hundred and twenty patients received percutaneous endoscopic gastrostomy, duodenostomy, jejunostomy from May 2001 to April 2004, including 75 percutaneous endoscopic gastrostomy (PEG), 42 percutaneous endoscopic jejunostomy (PEJ), 2 percutaneous endoscopic duodenostomy (PED), 1 direct percutaneous endoscopic jejunostomy (DPEJ). All tubes established by traditional pull technique.


RESULTS
The average duration of PEG was (9 +/- 4) min, PEJ (17 +/- 6) min, DPEJ 20 min, and PED was 10 and 12 min for 2 patients, respectively. Success rate of the technique was 98.4% (120/122). Major complication rate was 0.8% (1/120), and minor complication rate was 7.5% (9/120). Clinical indications: PEG, PED and PEJ were applied for long-term enteral nutritional support in 88 patients, gastrointestinal decompression in 25 patients, and transfusing external drainage bile to gastrointestinal tract in 5 patients. Two radiation enteritis patients used PEG for gastrointestinal decompression preoperatively and long-term enteral nutritional support postoperatively.


CONCLUSIONS
PEG, PED PEJ and DPEJ are easily handled, effective and safe, and may be widely used in clinical practice.
Jiang
Zhi-wei
ZW
Research Institute of General Surgery, General Hospital of Nanjing Military Area, Nanjing 210002, China. surgery34@163.com
Wang
Zhi-ming
ZM
Li
Jie-shou
JS
Li
Ning
N
Wu
Su-mei
SM
Ding
Kai
K
Liu
Bi-zhu
BZ
Huang
Qi
Q
Li
Qiang
Q
Jia
Yun-he
YH
Zhou
Wei
W
D000328:Adult; D000368:Aged; D004385:Duodenostomy / Q000379:methods*; D016099:Endoscopy, Gastrointestinal; D004750:Enteral Nutrition; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D008297:Male; D008875:Middle Aged