在胃造口术不可行的情况下，经皮经食管胃管（PTEG）是一种替代介入手术。然而，PTEG 的安全性和并发症发生率尚未得到评估。我们的目的是描述接受 PTEG 的患者的特征，并使用日本全国住院患者数据库调查并发症。在这项回顾性队列研究中，我们使用日本的诊断程序组合数据库来识别 2012 年 4 月至 2020 年 3 月期间接受 PTEG 的患者。结果是并发症的发生、PTEG 后 7 天内的侵入性治疗以及 PTEG 后 14 天内的管更换。我们统计比较了使用 PTEG 适应症的患者背景、并发症发生率和结果。共有 3,684 名患者接受了 PTEG，其中 1,455 名患者进行减压，2,193 名患者进行喂养。患者平均年龄为73.1岁，其中62.1%为男性。减压组中患癌症的患者多于喂养组中的患者。并发症总数为 47 例（1.3%）。 PTEG 后最常见的治疗是红细胞输注 (3.9%)，其次是早期插管更换 (3.3%)。作为PTEG并发症的侵入性治疗，分别有4例和1例需要经皮引流和经导管动脉栓塞，没有病例需要手术。我们利用日本全国数据库对PTEG进行了描述性研究。这项研究还表明，在现实世界中 PTEG 后的并发症发生率较低。我们的研究结果提供了有关日本 PTEG 安全性的实用信息。版权所有 © 2023 Elsevier Inc. 保留所有权利。

Percutaneous transesophageal gastro-tubing (PTEG) is an alternative interventional procedure in cases where gastrostomy is not feasible. However, the safety and complication rates of PTEG have not yet been evaluated. We aimed to describe the characteristics of patients who underwent PTEG and investigate complications using a nationwide Japanese inpatient database.In this retrospective cohort study, we used the Diagnosis Procedure Combination database in Japan to identify patients who underwent PTEG from April 2012 to March 2020. The outcomes were the occurrence of complications, invasive treatment within 7 days after PTEG, and tube replacement within 14 days after PTEG. We statistically compared patient background, complication rates, and outcomes using PTEG indications.A total of 3,684 patients underwent PTEG, which was performed in 1,455 patients for decompression and 2,193 patients for feeding. The patients' mean age was 73.1 years, and 62.1% were men. More patients in the decompression group had cancer than those in the feeding group. The overall number of complications was 47 cases (1.3%). The most common treatment administered after PTEG was red blood cell transfusion (3.9%), followed by early tube replacement (3.3%). As invasive treatments for PTEG complications, percutaneous drainage and transcatheter arterial embolization were required in 4 and 1 cases, respectively, and no cases required surgery.We performed a descriptive study on PTEG using a nationwide database in Japan. This study also showed a low complication rate after PTEG in the real world. Our findings provide practical information on the safety of PTEG in Japan.Copyright © 2023 Elsevier Inc. All rights reserved.