作为经皮内镜下胃造口术并发症的结肠胃瘘和结肠穿孔。
Cologastric fistula and colonic perforation as a complication of percutaneous endoscopic gastrostomy.
作者信息
Kinoshita Y, Udagawa H, Kajiyama Y, Tsutsumi K, Ueno M, Nakamura T, Watanabe G, Akiyama H
机构信息
Department of Surgery, Toranomon Hospital, Tokyo, Japan.
出版信息
Surg Laparosc Endosc Percutan Tech. 1999 Jun;9(3):220-2.
Cologastric fistula has rarely been reported as a complication of percutaneous endoscopic gastrostomy (PEG). We encountered a patient in whom this problem went unrecognized for 2 years. After the initial PEG tube was changed, the second PEG tube was advanced into the colon, causing severe diarrhea. When a third PEG tube was inserted, acute peritonitis occurred because of colonic perforation. We discuss the mechanism of this complication and technical points related to its prevention.
结肠胃瘘作为经皮内镜下胃造口术（PEG）的一种并发症鲜有报道。我们遇到一位患者，该问题在两年内未被发现。在更换最初的PEG管后，第二根PEG管进入了结肠，导致严重腹泻。当插入第三根PEG管时，因结肠穿孔发生了急性腹膜炎。我们讨论了这种并发症的发生机制以及与其预防相关的技术要点。
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