|
福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.57 (2011) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/281
|
| タイトル: | Prospective randomized comparative study of hemodynamic changes between ultrathin transnasal and conventional transoral esophagogastroduodenoscopy in percutaneous endoscopic gastrostomy placement with modified introducer method under sedation |
| その他のタイトル: | Prospective study of ultrathin transnasal EGD for PEG |
| 著者: | Suzuki, Rei
Hikichi, Takuto
Sato, Masaki
Takagi, Tadayuki
Ikeda, Tsunehiko
Watanabe, Ko
Nakamura, Jun
Irisawa, Atsushi
Obara, Katsutoshi
Ohira, Hiromasa |
| 学内所属: | 消化器・リウマチ膠原病内科学講座
内視鏡診療部
会津医療センター準備室 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 57 |
| 号: | 1 |
| 開始ページ: | 28 |
| 終了ページ: | 32 |
| 発行日: | 2011年 |
| 抄録: | AIM: Percutaneous Endoscopic Gastrostomy (PEG) placement is a useful but invasive method. Recently, the hemodynamic change of ultrathin transnasal esophagogastroduodenoscopy (transnasal EGD) was reported as less than that of conventional transoral EGD (transoral EGD). This study compared hemodynamic changes between transnasal EGD and transoral EGD in the setting of PEG placement using a modified Introducer method under sedation. METHODS: All 25 patients who were performed PEG in our hospital during the period December 2007 to February 2009 were enrolled in this study. We assigned them randomly to one of two groups, Group A for transoral EGD and Group B transnasal EGD. For both groups, the modified Introducer method was used. Vital signs (systolic blood pressure; SBP, heart rate; HR and rate pressure product; RPP) were monitored before and after scope insertion. RESULTS: We assigned 13 patients to Group A and 12 patients to Group B. The mean age was 69.4 years old in Group A and 69.8 in Group B. After scope insertion, mean changes of vital signs in Group A and B were, respectively, 17.8 mmHg and 17.3 mmHg in SBP, 12.1 bpm and 5.08 bpm in HR, and 25.9 and 17.5 in RPP. CONCLUSION: No significant differences of hemodynamic changes were seen between transnasal EGD and transoral EGD for the PEG placement with modified Introducer method under sedation. Results show that both methods are tolerable and feasible for PEG placement. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/281 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/281/1/FksmJMedSci_57_p28.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.57.28 |
| PubMed番号: | 21701080 |
| 異版(出版者版等): | http://dx.doi.org/10.5387/fms.57.28 |
| 権利情報: | © 2011 The Fukushima Society of Medical Science |
| 出現コレクション: | Vol.57 (2011)
|
このリポジトリに保管されているアイテムは、他に指定されている場合を除き、著作権により保護されています。
|
