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1、ARTICLEINPRESSClinicalNutrition(2005)24,848–861http://intl.elsevierhealth.com/journals/clnuCONSENSUSSTATEMENTESPENguidelinesonartificialenteralnutrition—Percutaneousendoscopicgastrostomy(PEG)a,bcdChr.Lo¨ser,G.Aschl,X.He´buterne,E.M.H.Mathus-Vliegen,efghiM.Muscaritoli,Y.Niv,
2、H.Rollins,P.Singer,R.H.SkellyaMedicalDepartment,RotesKreuzKrankenhausKassel,34121Kassel,GermanybMedicalDepartment,AKHWels,4600Wels,AustriacGINutrition,Archet2Hospital,06202Nice,FrancedDepartmentofGastroenterology,AcademicMedicalCentre,UniversityofAmsterdam,TheNetherlandseDe
3、partmentofClinicalMedicine,UniversityLaSapienza,Rome,ItalyfDepartmentofGastroenterology,RabinMedicalCenter,TelAvivUniversity,IsraelgNutritionNurseSpecialist,LutonandDunstableHospital,LutonLU40DZ,UKhGeneralIntensiveCareDepartment,RabinMedicalCenter,PetahTiqwa49100,IsraeliDer
4、byshireRoyalInfirmary,DerbyDE12QY,UKReceived23June2005;accepted23June2005Introductionhaveabroadspectrumoflowrisk,practicable,patient-orientatedformsofenteralnutritionalSincethefirstpublishedreportofapercutaneoustherapyavailable.PEG-feeding,therefore,hasendoscopicgastrostomy(P
5、EG)in1980byGaudererrapidlyspreadtobecomeroutinepracticeworld-andPonsky,1theprocedurehasbeenmodifiedandwideandiscurrentlythemethodofchoiceforimprovedseveraltimes.Ithasnowreplacedthemedium-andlong-termenteralfeeding.surgicalgastrostomy(Witzelgastrostomy,StammRecentstudieshavep
6、rovidednewinformationongastrostomy,Janewaygastrostomy)whichwasthebenefitsanddrawbacksofPEG-feeding.Weassociatedwithamarkedlyhigherrateofcompli-haveaclearerappreciationofethicalissuescations.2,3PlacementofaPEG/PEJ(percutaneoussurroundingartificialenteralfeeding.Sinceweendoscop
7、icjejunostomy)tubeissimple,safeandstartedplacingpercutaneousenteraltubesystems4,5byendoscopictechniquesnearly25yearsago1ourwell-toleratedbypatients.Thereisawiderangeofdietsandnutrientpreparationssuitablefortubeattitudetowardsthismethodhaschangedinmanyfeedingcurrentlyavailab
8、le.ModernPEGtubeways:intheearlydaysPEG-tubeswereoftenusedsystemsmadeofpolyurethane
