経鼻的細径内視鏡を用いた経皮内視鏡的胃瘻造設術の試み TRIALS OF PERCUTANEOUS ENDOSCOPIC GASTROSTOMY BY TRANSNASAL ENDOSCOPY USING A SMALL-CALIBER ENDOSCOPE

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著者

    • 綾田 穣 AYADA Minoru
    • 愛知医科大学 消化器内科 Department of Internal Medicine, Division of Gastroenterology, Aichi Medical University School of Medicine
    • 堀田 直樹 HOTTA Naoki
    • 愛知医科大学 消化器内科 Department of Internal Medicine, Division of Gastroenterology, Aichi Medical University School of Medicine
    • 國井 伸 KUNII Shin
    • 愛知厚生連海南病院 消化器内科 Department of Gastroenterology, Kainan Hospital Aichi Prefectural Welfare Federation of Agricultural Cooperatives
    • 吉田 香果 YOSHIDA Kagumi
    • 愛知医科大学 消化器内科 Department of Internal Medicine, Division of Gastroenterology, Aichi Medical University School of Medicine
    • 奥村 明彦 OKUMURA Akihiko
    • 愛知医科大学 消化器内科 Department of Internal Medicine, Division of Gastroenterology, Aichi Medical University School of Medicine
    • 石川 哲也 ISHIKAWA Tetsuya
    • 愛知医科大学 消化器内科 Department of Internal Medicine, Division of Gastroenterology, Aichi Medical University School of Medicine
    • 福沢 嘉孝 FUKUZAWA Yoshitaka
    • 愛知医科大学 消化器内科 Department of Internal Medicine, Division of Gastroenterology, Aichi Medical University School of Medicine
    • 各務 伸一 KAKUMU Shinichi
    • 愛知医科大学 消化器内科 Department of Internal Medicine, Division of Gastroenterology, Aichi Medical University School of Medicine

抄録

今回われわれは細径内視鏡を用い,対象症例を内視鏡の経鼻挿入によりPEGを行う群(経鼻群)と,経口挿入により行う群(経口群)に無作為に振り分け,施行時間やバイタルサインなどを比較検討した.PEGはpull法を用いた.経鼻群の胃瘻造設中の嘔吐反射回数,検査中の血圧,脈拍数の上昇率はいずれも経口群より低く(p<0.05),経鼻群は苦痛とストレスの緩和に有用で,安全性は経口群と同等である可能性が示された.

We performed percutaneous endoscopic gastrostomy (PEG) by transnasal endoscopy using a small-caliber endoscope for the purpose of relieving the pain and stress of gastrointestinal endoscopy and PEG without conscious cedation. The usefulness and safety were compared between cases performed PEG by transnasal endoscopy and those by transoral endoscopy. Cases with dysphagia by neurological diseases were divided into two groups randomly. The pull technique was used for both groups. We observed vital signs etc to compare pain and stress in transnasal insertion group and transoral insertion group. An increase in blood pressure and pulse rate was significantly small during PEG in the transnasal insertion group compared to the transoral group. There was no major complication in the transnasal insertion group as well as the transoral group. Our experience suggested that PEG by transnasal endoscopy using a smallcaliber endoscope is more useful than PEG by transoral endoscopy to relieve the pain and stress, and PEG by transnasal endoscopy is a safe method as well as PEG by transoral endoscopy.

収録刊行物

  • 日本消化器内視鏡学会雑誌 = Gastroenterological endoscopy  

    日本消化器内視鏡学会雑誌 = Gastroenterological endoscopy 48(7), 1425-1430, 2006-07-20 

    一般社団法人 日本消化器内視鏡学会

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各種コード

  • NII論文ID(NAID)
    10018786355
  • NII書誌ID(NCID)
    AN00192102
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    03871207
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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