Lattuneddu A, Morgagni P, Benati G, Delvecchio S, Garcea D
Department of General Surgery 1, Morgagni Hospital, Piazzi Solieri 1, 47100 Forlì, Italy.
Surg Endosc. 2003 Dec;17(12):2028-31. doi: 10.1007/s00464-003-4224-y. Epub 2003 Oct 13.
Percutaneous endoscopic gastrostomy (PEG) is a well-established technique for providing long-term nutritional support. The advantages and most frequent complications have been widely documented, but less is known about the danger of removing or replacing a PEG by cutting the device at skin level without endoscopic assistance to ensure the removal of the inner part. Laparotomy is often required in elderly and high-risk patients to relieve an intestinal obstruction or perforation. We describe a fatal case of small bowel perforation, resulting from the inability to remove an inner bumper.
经皮内镜下胃造口术（PEG）是一种成熟的提供长期营养支持的技术。其优点和最常见的并发症已有广泛记录，但对于在没有内镜辅助以确保取出内部部件的情况下，在皮肤水平切断装置来移除或更换PEG的危险性却知之甚少。老年和高危患者常需要进行剖腹手术以缓解肠梗阻或穿孔。我们描述了一例因无法取出内部缓冲器而导致小肠穿孔的致命病例。
