Prevention of Complications for Percutaneous Endoscopic Gastrostomy and Jejunostomy in Critically Ill Patients

Objective To explore the complications of prevention and treatment in Percutaneous endoscopic gastrostomy and jejunostomy.Methods The clinic data for 535 critically ill patients who undergone percutaneous endoscopic gastrostomy and jejunostomy during January 2006 to November 2011 were retrospectively studied,and the complications and their influential factors were observed.Results No patients receiving PEG/PEJ were dead.The minor complication rate was 8.78%(47/535),and success ratio was 99.06%(535/540).Among the 35 cases with 47 times of minor complications,5 cases were incisional infection,10 cases were incision bleeding,10 cases were Catheter tip displacement,12 cases were Catheter blockage and 10 cases were Parastomal leakage.Two cases with serious complications were aspiration,and were cured by non-surgical methods.Conclusion Although the application and operation of percutaneous endoscopic gastrostomy and jejunostomy are simple and safe,but appropriate handling of peroperative period is important to controlling complications.