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在袖子胃切除术后穿皮内镜胃切除管的放置:一个病例报告
Asma Yaseen1, Arif Siddiqui1, Muhammad Umair Tahseen1
1Sindh Institute of Advanced Endoscopy and Gastroenterology, Karachi, Sindh, Pakistan.
AME case reports
|February 12, 2026
概括
穿皮内镜胃口切除术 (PEG) 放置在袖子胃口切除术后改变解剖的患者中是可行的. 谨慎的技术允许安全插入PEG管,为这些独特的病例提供必要的肠道营养.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 穿皮内镜胃口术 (PEG) 对于口服摄入量受损的患者的长期肠道营养至关重要.
- 袖子胃切除术显著改变了胃的解剖结构,由于胃张力降低,这给标准的PEG手术带来了技术上的挑战.
- 有限的数据存在PEG安置在有史经过袖子胃切除术的患者,突出需要病例报告.
研究的目的:
- 报告成功安置PEG管在一个有袖子胃切除术史的患者身上.
- 为了证明PEG放置在经过手术改变的胃解剖学中的可行性和安全性.
- 为有限的证据提供贡献,以指导临床医生在类似的复杂病例中.
主要方法:
- 一名64岁的女性,在病史中患有袖子胃切除术和口腔粘膜癌,接受了PEG管安置.
- 该程序涉及使用吸气,透光和指纹痕的仔细地点识别.
- 使用Ponsky-Gauderer (拉) 技术放置了一个24Fr的PEG管.
主要成果:
- 由于手术后的变化和肥胖症,PEG管安置在技术上具有挑战性,但成功完成了.
- 这项手术没有任何事件,患者在术后保持稳定.
- 患者耐受PEG养,在1个月的随访后没有并发症或管相关问题.
结论:
- 在袖子胃切除术后手术改变了解剖学的患者中,PEG安置是一种可行的和安全的选择.
- 在这些情况下,明智的患者选择和细致的技术对于成功的PEG结果至关重要.
- 在患有复杂胃解剖的患者中,PEG为肠道接入提供了图像引导程序的替代方案.
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