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Pierre Robin 序列患者行经皮内镜胃造口术置管的安全技术。

Safety techniques for percutaneous endoscopic gastrostomy tube placement in Pierre Robin Sequence.

机构信息

Department of Pediatrics, Division of Pediatric Gastroenterology, University of Iowa, Iowa City 52241, USA.

出版信息

JPEN J Parenter Enteral Nutr. 2011 May;35(3):343-5. doi: 10.1177/0148607110381268. Epub 2011 Jan 31.

DOI:10.1177/0148607110381268
PMID:21282476
Abstract

Pierre Robin Sequence (PRS) is a craniofacial anomaly characterized by a triad of micrognathia, glossoptosis, and cleft palate. Infants with PRS frequently have feeding problems that may require supplemental nutrition through a nasogastric or gastrostomy tube. Very few published studies have illustrated the most appropriate method for securing an enteral feeding route in this patient population. One case report described a major complication leading to death from airway compromise following percutaneous endoscopic gastrostomy (PEG) tube placement. The authors describe a case of an infant with PRS who underwent successful PEG tube placement without complications, and they highlight certain techniques to improve procedure success and patient safety.

摘要

皮埃尔-罗宾序列(PRS)是一种颅面畸形,其特征为小下颌、舌后坠和腭裂三联征。PRS 患儿常存在喂养问题,可能需要通过鼻胃管或胃造口管进行补充营养。仅有少数已发表的研究说明了在这种患者人群中建立肠内喂养途径的最合适方法。有 1 例病例报告描述了经皮内镜胃造口术(PEG)置管后发生严重并发症导致气道阻塞而死亡。作者描述了 1 例 PRS 婴儿成功进行 PEG 管置管而无并发症的病例,并强调了某些技术可提高手术成功率和患者安全性。

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