Application of Modified Percutaneous Endoscopic Gastrostomy in Patients With Amyotrophic Lateral Sclerosis
10.3969/j.issn.1009-6604.2025.03.005
- VernacularTitle:改良经皮内镜下胃造瘘术在肌萎缩侧索硬化症患者中的应用
- Author:
Wenzheng LIU
1
;
Yuhuan MA
;
Hong CHANG
;
Xiu'e YAN
;
Wei YAO
;
Yingchun WANG
;
Wei ZHENG
;
Yaopeng ZHANG
;
Yonghui HUANG
Author Information
1. 北京大学第三医院消化科,北京 100191
- Publication Type:Journal Article
- Keywords:
Percutaneous endoscopic gastrostomy;
Amyotrophic lateral sclerosis;
Body mass index
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(3):153-157
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of modified percutaneous endoscopic gastrostomy(PEG)for patients with amyotrophic lateral sclerosis(ALS)and dysphagia.Methods From January 2018 to December 2023,47 patients with ALS were treated with modified PEG in our hospital.The surgery was performed under local anesthesia.The patients were placed in a semi-seated position,and the surgeon performed surgery with an ultra-fine endoscope through oral entrance to the stomach.Results The modified PEG were successfully completed in all the 47 cases.The operation time was5-20 min[mean,(10.3±1.7)min].The postoperative hospitalization lasted for2-8 d(mean,2.8 d).Postoperative complications occurred in6 cases(12.8%),including aspiration pneumonia in4 cases(8.5%)and incision infection in2 cases(4.3%).The body mass index was17.06±0.89 before PEG and 18.15±0.81 at 3 months after PEG,with significant difference(t=-10.373,P=0.000).Conclusion For ALS patients with dysphagia,modified PEG is feasible,which significantly improves nutritional status of patients.
