经皮影像引导下胃造瘘PPT课件2.ppt

* The advent in 1980 of percutaneous endoscopic gastrostomy (PEG) dramatically changed the approach to gastrostomy access, and this minimally invasive procedure largely replaced surgical gastrostomy. Endoscopic gastrostomy has been accepted widely and remains the most common form of gastrostomy access. Endoscopic gastrojejunostomy and direct endoscopic jejunostomy also have been described, but these methods are less widely used and less accepted than PEG. * Screening bloodwork (complete blood count, international normalized ratio, and prothrombin and partial thromboplastin tests) should be pe