経皮内視鏡的胃瘻造設術—脳神経外科患者の長期栄養管理における経験

Percutaneous Endoscopic Gastrostomy (PEG) for the Management of Dysphagia : Experiences in the Neurosurgical Care Unit

I．はじめに

　脳神経外科領域では意識低下，経口摂取不能に陥り，長期の栄養管理を要する患者が多い．中心静脈栄養，経鼻胃管栄養が中心であったが，感染や苦痛を中心とする合併症が問題である，そこでわれわれはこれらの患者に対し経皮内視鏡的胃瘻造設術percutaneous endoscopic gastrostomy（PEG）を行い，良好な結果を得ているので報告する．

This report concerns percutaneous endoscopic gastrostomy (PEG) administered in the neurosurgical care unit to a patient with dysphasia. This reliable nutrition route has the major advantage of minimal surgical invasion and can be expected to become a standard nutritional method. Since patients with neurological disorders account for the majority of those who need PEG, neurosurgeons need to be aware of the import-ance of PEG.