如何拯救一个穿皮胃口管穿孔膜
Zehra Naseem1, Aun Muhammad2, Robero Simons-Linares3
1Department of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
概括
这项研究介绍了一种内镜技术,用于修复皮质胃口管 (PEG) 引起的阴穿孔. 这种最少的侵入性方法成功地解决了并发症,避免了患有胃管的患者的手术.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 内镜检查是指内镜检查.
背景情况:
- 穿皮胃口管 (PEG) 对于长期的肠道营养至关重要.
- 严重的并发症虽然很少见,但往往需要手术.
- 导致头孔的PEG管错位是一个严重的不良事件.
研究的目的:
- 描述一种内镜技术,用于修复涉及阴的PEG管穿孔.
- 介绍一个成功内镜治疗胃管的案例研究.
主要方法:
- 一名75岁的男性患有短肠综合征,最近接受了肠移植,患上了与PEG管相关的孔穿孔.
- 计算机断层扫描和内镜检查证实了穿孔和胃关.
- 用上部内镜,陷和对照光的金属支架进行了修复,随后直接插入凝肠管.
主要成果:
- 内镜修复成功地重新定位了PEG管,并关闭了胃关.
- 通过现有的PEG通道放置一个直接的凝肠口管.
- 在程序后恢复肠道养,没有任何不良事件.
结论:
- 内镜治疗为PEG管相关并发症提供了一种有效和最少侵入性的外科手术替代方案.
- 这种技术可以用于由PEG管的错位引起的胃管.
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