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\u98df\u7269\u3084\u98f2\u6599\u3084\u533b\u85ac\u54c1\u306a\u3069\u306e\u7d4c\u53e3\u6442\u53d6\u304c\u4e0d\u53ef\u80fd\u307e\u305f\u306f\u56f0\u96e3\u306a\u60a3\u8005\u306b\u5bfe\u3057\u3001\u4eba\u70ba\u7684\u306b\u76ae\u819a\u3068\u80c3\u306b\u763b\u5b54\u4f5c\u6210\u3001\u30c1\u30e5\u30fc\u30d6\u7559\u7f6e\u3057\u3001\u98df\u7269\u3084\u6c34\u5206\u3084\u533b\u85ac\u54c1\u3092\u6d41\u5165\u3055\u305b\u6295\u4e0e\u3059\u308b\u305f\u3081\u306e\u51e6\u7f6e\u3067\u3042\u308b\u3002 1980\u5e74\u4ee3\u306b\u30a2\u30e1\u30ea\u30ab\u5408\u8846\u56fd\u306b\u304a\u3044\u3066\u4e0a\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1\u3092\u7528\u3044\u3066\u306e\u5185\u8996\u93e1\u7684\u80c3\u763b\u9020\u8a2d\u8853\uff08\u82f1: Percutaneous Endoscopic Gastrostomy; PEG\uff09\u304c\u958b\u767a\u3055\u308c[2][3]\u3001\u4e16\u754c\u7684\u306b\u666e\u53ca\u3057\u5e83\u307e\u3063\u305f\u3002 \u5148\u5929\u7684\u306a\u539f\u56e0\u307e\u305f\u306f\u5f8c\u5929\u7684\u306a\u75c5\u6c17\u3084\u5916\u50b7\u306b\u3088\u308a\u3001\u8133\u795e\u7d4c\u3084\u53e3\u8154\u3084\u54bd\u982d\u3084\u98df\u9053\u306e\u6a5f\u80fd\u306b\u969c\u5bb3\u304c\u3042\u308a\u3001\u53e3\u8154\u30fb\u54bd\u982d\u30fb\u98df\u9053\u3092\u7d4c\u7531\u3057\u3066\u98df\u7269\u3084\u6c34\u5206\u3084\u533b\u85ac\u54c1\u306a\u3069\u306e\u7d4c\u53e3\u6442\u53d6\u304c\u4e0d\u53ef\u80fd\u307e\u305f\u306f\u56f0\u96e3\u306a\u56a5\u4e0b\u969c\u5bb3\u304c\u3042\u308b\u5834\u5408\u3001\u60a3\u8005\u306b\u80c3\u763b\u304b\u3089\u306e\u4eba\u5de5\u6804\u990a\u3084\u6c34\u5206\u3084\u533b\u85ac\u54c1\u3092\u6295\u4e0e\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u5fc5\u8981\u3067\u5341\u5206\u306a\u6804\u990a\u3084\u6c34\u5206\u3084\u533b\u85ac\u54c1\u3092\u6442\u53d6\u3057\u3001\u60a3\u8005\u306e\u751f\u547d\u3092\u7dad\u6301\u3057QOL\u3092\u5411\u4e0a\u3055\u305b\u308b\u76ee\u7684\u3067\u9020\u8a2d\u3059\u308b\u3002\u8aa4\u56a5\u6027\u80ba\u708e\u306e\u767a\u751f\u7387\u3092\u6291\u3048\u3089\u308c\u308b\u304c\u3001\u53e3\u8154\u30b1\u30a2\u3092\u5b9f\u65bd\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u3001\u5b8c\u5168\u306a\u4e88\u9632\u306b\u306f\u306a\u3089\u306a\u3044[4]\u3002 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gastrostoma; gastric fistula\uff09\u3068\u306f\u3001\u8179\u58c1\u3092\u5207\u958b\u3057\u3066\u80c3\u5185\u306b\u7ba1\u3092\u901a\u3057\u3001\u98df\u7269\u3084\u6c34\u5206\u3084\u533b\u85ac\u54c1\u3092\u6d41\u5165\u3055\u305b\u6295\u4e0e\u3059\u308b\u305f\u3081\u306e\u533b\u7642\u63aa\u7f6e\u3067\u3042\u308b\u3002\u4eba\u5de5\u7684\u6c34\u5206\u30fb\u6804\u990a\u88dc\u7d66\u6cd5\uff08\u82f1: artificial hydration and nutrition; AHN\uff09\u3068\u3082\u79f0\u3059\u308b[1]\u3002  \u98df\u7269\u3084\u98f2\u6599\u3084\u533b\u85ac\u54c1\u306a\u3069\u306e\u7d4c\u53e3\u6442\u53d6\u304c\u4e0d\u53ef\u80fd\u307e\u305f\u306f\u56f0\u96e3\u306a\u60a3\u8005\u306b\u5bfe\u3057\u3001\u4eba\u70ba\u7684\u306b\u76ae\u819a\u3068\u80c3\u306b\u763b\u5b54\u4f5c\u6210\u3001\u30c1\u30e5\u30fc\u30d6\u7559\u7f6e\u3057\u3001\u98df\u7269\u3084\u6c34\u5206\u3084\u533b\u85ac\u54c1\u3092\u6d41\u5165\u3055\u305b\u6295\u4e0e\u3059\u308b\u305f\u3081\u306e\u51e6\u7f6e\u3067\u3042\u308b\u30021980\u5e74\u4ee3\u306b\u30a2\u30e1\u30ea\u30ab\u5408\u8846\u56fd\u306b\u304a\u3044\u3066\u4e0a\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1\u3092\u7528\u3044\u3066\u306e\u5185\u8996\u93e1\u7684\u80c3\u763b\u9020\u8a2d\u8853\uff08\u82f1: Percutaneous Endoscopic Gastrostomy; PEG\uff09\u304c\u958b\u767a\u3055\u308c[2][3]\u3001\u4e16\u754c\u7684\u306b\u666e\u53ca\u3057\u5e83\u307e\u3063\u305f\u3002\u5148\u5929\u7684\u306a\u539f\u56e0\u307e\u305f\u306f\u5f8c\u5929\u7684\u306a\u75c5\u6c17\u3084\u5916\u50b7\u306b\u3088\u308a\u3001\u8133\u795e\u7d4c\u3084\u53e3\u8154\u3084\u54bd\u982d\u3084\u98df\u9053\u306e\u6a5f\u80fd\u306b\u969c\u5bb3\u304c\u3042\u308a\u3001\u53e3\u8154\u30fb\u54bd\u982d\u30fb\u98df\u9053\u3092\u7d4c\u7531\u3057\u3066\u98df\u7269\u3084\u6c34\u5206\u3084\u533b\u85ac\u54c1\u306a\u3069\u306e\u7d4c\u53e3\u6442\u53d6\u304c\u4e0d\u53ef\u80fd\u307e\u305f\u306f\u56f0\u96e3\u306a\u56a5\u4e0b\u969c\u5bb3\u304c\u3042\u308b\u5834\u5408\u3001\u60a3\u8005\u306b\u80c3\u763b\u304b\u3089\u306e\u4eba\u5de5\u6804\u990a\u3084\u6c34\u5206\u3084\u533b\u85ac\u54c1\u3092\u6295\u4e0e\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u5fc5\u8981\u3067\u5341\u5206\u306a\u6804\u990a\u3084\u6c34\u5206\u3084\u533b\u85ac\u54c1\u3092\u6442\u53d6\u3057\u3001\u60a3\u8005\u306e\u751f\u547d\u3092\u7dad\u6301\u3057QOL\u3092\u5411\u4e0a\u3055\u305b\u308b\u76ee\u7684\u3067\u9020\u8a2d\u3059\u308b\u3002\u8aa4\u56a5\u6027\u80ba\u708e\u306e\u767a\u751f\u7387\u3092\u6291\u3048\u3089\u308c\u308b\u304c\u3001\u53e3\u8154\u30b1\u30a2\u3092\u5b9f\u65bd\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u3001\u5b8c\u5168\u306a\u4e88\u9632\u306b\u306f\u306a\u3089\u306a\u3044[4]\u3002\u4e0b\u8a18\u306e\u6761\u4ef6\u306e\u5c11\u306a\u304f\u3068\u3082\u3069\u308c\u304b\u3072\u3068\u3064\u306b\u5408\u81f4\u3059\u308b\u5834\u5408\u306f\u80c3\u763b\u306e\u9020\u8a2d\u306f\u884c\u308f\u306a\u3044\u3001\u307e\u305f\u306f\u3001\u9020\u8a2d\u6e08\u307f\u306e\u80c3\u763b\u304b\u3089\u306e\u4eba\u5de5\u6804\u990a\u6295\u4e0e\u3092\u4e2d\u6b62\u3059\u308b\u3002 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enteral nutrition; 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– \u9f3b\u304b\u3089\u80c3\u307e\u3067\u7ba1\uff08\u30c1\u30e5\u30fc\u30d6\uff09\u3092\u901a\u3057\u3001\u6d41\u52d5\u98df\u3092\u76f4\u63a5\u80c3\u306b\u9001\u308b\u7d4c\u7ba1\u6804\u990a\u3002CV\u30dd\u30fc\u30c8 – \u4e2d\u5fc3\u9759\u8108 (central vein; CV) \u30ab\u30c6\u30fc\u30c6\u30eb\u306e\u4e00\u7a2e\u3067\u3001\u6b63\u5f0f\u306b\u306f\u76ae\u4e0b\u57cb\u3081\u8fbc\u307f\u578b\u30dd\u30fc\u30c8\u3068\u3044\u308f\u308c\u308b\u3082\u306e[12]\u3002\u30bb\u30d7\u30bf\u30e0\u3068\u547c\u3070\u308c\u308b\u5727\u7e2e\u3055\u308c\u305f\u30b7\u30ea\u30b3\u30fc\u30f3\u30b4\u30e0\u306b\u5c02\u7528\u306e\u91dd\u3092\u523a\u3057\u3066\u3001\u9ad8\u30ab\u30ed\u30ea\u30fc\u8f38\u6db2\u3084\u3001\u5316\u5b66\u7642\u6cd5\u306a\u3069\u306e\u85ac\u5264\u3092\u76f4\u63a5\u8840\u7ba1\u5185\u306b\u6295\u4e0e\u3059\u308b[12]\u3002PICC – \u901a\u5e38\u4e0a\u8155\u304b\u3089\u633f\u5165\u3059\u308b\u672b\u68a2\u633f\u5165\u578b\u4e2d\u5fc3\u9759\u8108\u30ab\u30c6\u30fc\u30c6\u30eb\uff08peripherally inserted central venous catheter\uff09[12]\u3002\u4ed6\u306e\u4e2d\u5fc3\u9759\u8108\u30ab\u30c6\u30fc\u30c6\u30eb\u3068\u6bd4\u8f03\u3057\u3066\u3001\u8155\u304b\u3089\u6bd4\u8f03\u7684\u7c21\u5358\u306b\u633f\u5165\u3067\u304d\u308b\u305f\u3081\u3001CV\u30dd\u30fc\u30c8\u3084\u80c3\u763b\u9020\u8a2d\u691c\u8a0e\u6bb5\u968e\u3067\u633f\u5165\u3057\u3001\u6804\u990a\u72b6\u614b\u3092\u4fdd\u3064\u3053\u3068\u304c\u3042\u308b[12]\u30022012\u5e746\u670827\u65e5\u3001\u65e5\u672c\u8001\u5e74\u533b\u5b66\u4f1a\u306f\u300c\u9ad8\u9f62\u8005\u30b1\u30a2\u306e\u610f\u601d\u6c7a\u5b9a\u30d7\u30ed\u30bb\u30b9\u306b\u95a2\u3059\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u2015\u4eba\u5de5\u7684\u6c34\u5206\u30fb\u6804\u990a\u88dc\u7d66\u306e\u5c0e\u5165\u3092\u4e2d\u5fc3\u3068\u3057\u3066\u300d\u3092\u51fa\u3057\u3001\u4eba\u5de5\u7684\u6c34\u5206\u30fb\u6804\u990a\u88dc\u7d66\u6cd5\uff08artificial hydration and nutrition\uff1bAHN\uff09\u5c0e\u5165\u306e\u6307\u91dd\u3092\u793a\u3057\u305f[13]\u30022013\u5e745\u670825\u65e5\u3001\u65e5\u672c\u9759\u8108\u7d4c\u8178\u6804\u990a\u5b66\u4f1a\u7de8\u96c6\u306e\u300e\u9759\u8108\u7d4c\u8178\u6804\u990a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3 \u7b2c3\u7248\u300f\u3082\u767a\u884c\u3055\u308c\u305f[4]\u3002^ \u7530\u4e4b\u7551\u4ec1\u3001\u4f50\u85e4\u967d\u3001\u5ca9\u5d0e\u8ce2\u4e00 (2016\u5e741\u67087\u65e5). \u201c\u521d\u3081\u3066\u306e\u80c3\u308d\u3046\u3001\u7591\u554f\u306b\u7b54\u3048\u308b\u201d (\u65e5\u672c\u8a9e). \u671d\u65e5\u65b0\u805e. https:\/\/digital.asahi.com\/articles\/SDI201601157078.html\u00a0^ Gauderer,M.W.,Ponsky,J.L.,Izant,R.J.,”Gastrostomy without laparotomy\u00a0: a percutaneous endscopie technique.”,J Pediatr Surg.,1980,15,p872-875.^ Ueno F, Kadota T. Perctaneous endoscopic gastrostomy: A simplified new technique for feeding gastrostomy. 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