皮肤性胃口管置换的不寻常并发症
Si Ru Liang1, Gyanprakash Ketwaroo1,2, Basile Njei1
1Digestive Diseases, Yale School of Medicine, New Haven, CT.
ACG case reports journal
|September 19, 2025
概括
皮肤内镜胃口 (PEG) 管置换的罕见并发症,胃出口阻塞,由于深入插入而发生. 重定位PEG管解决了症状,强调需要谨慎的技术和验证.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 手术并发症 手术并发症
背景情况:
- 穿皮内镜胃口 (PEG) 管对于患有吞困难的患者的营养支持至关重要.
- 虽然通常是安全的,PEG管程序,包括更换,携带并发症的风险.
- 由于各种因素可能引起并发症,包括插入深度和管道位置不当.
研究的目的:
- 在更换过程中报告由深部PEG管插入引起的胃出口阻塞病例.
- 突出PEG管程序中适当的培训和验证方法的重要性.
- 讨论这种特殊并发症的管理和解决方案.
主要方法:
- 一个63岁的患有食道癌的男性患者的病例报告,正在接受PEG管置换.
- 并发症的描述:完全阻塞胃出口.
- 干预:重新定位PEG管.
主要成果:
- 患者在PEG管置换后出现了完全的胃出口阻塞.
- 在皮肤内镜胃口管重新定位后,症状成功地得到解决.
- 这种并发症归因于异常深入的输入管.
结论:
- 在更换过程中深入插入PEG管可以导致严重的并发症,如胃出口阻塞.
- 彻底的培训和细致的替代后验证对于防止这种不良事件至关重要.
- 迅速识别和重新定位错位的PEG管可以有效地管理阻塞.
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