Szarszewski Adam, Szlagatys-Sidorkiewicz Agnieszka, Borkowska Anna, Landowski Piotr, Radys Wojciech
Katedra i Klinika Pediatrii, Gastroenterologii, Hepatologii i Zywienia Dzieci, Gdański Uniwersytet Medyczny, ul. Nowe Ogrody 1/6, 80-803 Gdańsk.
Med Wieku Rozwoj. 2009 Jul-Sep;13(3):209-11.
Two cases of posterior gastric wall ulceration are presented as a rare complication of percutaneous endoscopic gastrostomy (PEG). Percutaneous endoscopic gastrostomy (Flocare, Nutricia) was performed in two boys (aged 2 and 19 months), who were unable to take necessary nutrients by mouth due to neurological disorders concerning swallowing and deficiency of body mass. This status does not allow to cover liquid and caloric requirement. In one case bleeding occurred 12 days after PEG insertion, in the second--6 weeks after PEG insertion. Both patients were treated with parenteral nutrition and omeprazol intravenously, with good result. The described complications are rare, however, the proton pomp inhibitors application in prevention should be considered.
本文报告两例胃后壁溃疡，这是经皮内镜下胃造口术（PEG）罕见的并发症。两名男孩（分别为2个月和19个月大）因吞咽相关神经功能障碍及体重不足无法经口摄取必需营养，遂行经皮内镜下胃造口术（使用Nutricia公司的Flocare产品）。这种情况无法满足液体和热量需求。一例在PEG置入后12天出现出血，另一例在PEG置入后6周出现出血。两名患者均接受了肠外营养及静脉注射奥美拉唑治疗，效果良好。所述并发症较为罕见，不过应考虑应用质子泵抑制剂进行预防。
