Abstract：Percutaneous endoscopic gastrostomy / jejunostomy PEG/ J is a pathway of tube feeding which is a minimally invasive
surgery placing PEG/ J tube under an endoscope. PEG/ J which is recommended by many internal and overseas guidelines and
consensus has become the preferred method of enteral nutrition for long - term tube feeding due to its simple operation fewer
complications good tolerability and low hospitalization costs and its clinical application is gradually increasing. In order to prevent the
continuous deterioration of the nutritional status for patients and improve the quality of their life early treatment of PEG/ J is
recommended when the patient is unable to eat or eat less due to the disease of nervous system head and neck tumor digestive system
and so on. In clinical application there are controversies about the contraindications of PEG/ J how to adjust anticoagulant drugs
during perioperative period whether to use prophylactic antibiotics before operation postoperative care and so on. Therefore this
article interprets the Guidelines on Nutrition Therapy Pathway for Adult patients in China and proposes suggestions on the clinical
indications contraindications perioperative management operational approach and prevention of complications offering guidance for
the application of PEG/ J in clinical practice contributing to making optimal choice in nutritional treatment pathways for adults patients
according to the latest consensus
张娟娟,达彬琳,汪志明. 《中国成年患者营养治疗通路指南》 解读:经皮内镜下胃/空肠造口术
[J]. 肿瘤代谢与营养电子杂志, 2022, 9(4): 408-413.
Zhang Juanjuan,Da Binlin,Wang Zhiming. Interpretation of Guidelines for nutritional treatment pathways for adult patients in China PEG/ J. Electron J Metab Nutr Cancer, 2022, 9(4): 408-413.
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