Study of percutaneous endoscopic gastrostomy on amyotrophic lateral sclerosis patients

VernacularTitle:肌萎缩侧索硬化症患者经皮内镜下胃造瘘术研究
Author: Wei YAO ; Yonghui HUANG ; Hong CHANG
Publication Type:Journal Article
Keywords: Amyotrophic lateral sclerosis; Percutaneous endoscopic gastrostomy
From: Chinese Journal of Postgraduates of Medicine 2011;34(10):4-6
CountryChina
Language:Chinese
Abstract: Objective To evaluate the value of percutaneous endoscopic gastrostomy (PEG) in the treatment of amyotrophic lateral sclerosis (ALS) patients with dysphagia. Method Sixty-five ALS patients underwent PEG from April 2005 to July 2010 were analysed retrospectively. Results All the 65 patients underwent PEG,and 2 patients failed because of dyspnea. Totally 63 patients were intubated successfully,the successful rate was 96.9%(63/65). The operation time was 8-17 min. Two patients had local infection.After 3 months, the body mass index was increased from (18.3 ± 1.0) kg/m2 to (19.7 ± 1.2) kg/m2(t = 15.8,P ＜ 0.01), without peritonitis, migration of the gastrostomy tube and other complications. Conclusions PEG is a safe method with a low complication for ALS patients to get enteral nutrition. Dyspnea is the main reason of failure.