因经皮胃造口管移位导致的逆行空肠十二指肠胃套叠，表现为上消化道出血。
Retrograde jejunoduodenogastric intussusception due to a replacement percutaneous gastrostomy tube presenting as upper gastrointestinal bleeding.
作者信息
Ibegbu Eric, Relan Manish, Vega Kenneth-J
机构信息
Division of Gastroenterology, University of Florida Health Science Center/Jacksonville, Jacksonville, FL 32207, USA.
出版信息
World J Gastroenterol. 2007 Oct 21;13(39):5282-4. doi: 10.3748/wjg.v13.i39.5282.
Abstract
Percutaneous endoscopic gastrostomy (PEG) tube complications can be serious or life threatening. Retrograde intussusception is a very rare complication of PEG tubes with only 9 cases reported in the literature. We describe a case of retrograde intussusception, associated with the use of a Foley catheter as a replacement gastrostomy tube, presenting with upper gastrointestinal bleeding. To our knowledge, this is the first reported case of PEG-related retrograde intussusception successfully managed in a non-surgical manner. Retrograde intussusception likely occurred due to migration of the replacement tube with resultant securing and invagination of the proximal jejunum when the gastrostomy tube was anchored to the abdominal wall.
摘要
经皮内镜下胃造口术（PEG）管并发症可能很严重甚至危及生命。逆行套叠是PEG管一种非常罕见的并发症，文献中仅报道过9例。我们描述了1例逆行套叠病例，该病例与使用Foley导管作为替代胃造口管有关，并伴有上消化道出血。据我们所知，这是首例以非手术方式成功处理的与PEG相关的逆行套叠病例。逆行套叠可能是由于替代管移位，导致胃造口管固定于腹壁时近端空肠被固定并内陷所致。
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