Redcliffe Hospital, Redcliffe Hospital, Locked Mailbag 1, Redcliffe, Queensland 4020, Australia.
Nutr Clin Pract. 2011 Jun;26(3):227-9. doi: 10.1177/0884533611405534. Epub 2011 Apr 20.
A method used at some centers to remove or replace percutaneous endoscopic gastrostomy tubes is to cut the tube at the skin level, allowing the internal flange to be eliminated intestinally. This is known as the cut-and-push technique. This report describes a case in which the internal flange resulted in intestinal perforation in a patient with no history of underlying intestinal disease or abdominal surgery. This case illustrates the importance of interval abdominal radiographs to confirm extrusion of the internal flange.
一些中心采用的一种移除或更换经皮内镜胃造瘘管的方法是在皮肤水平处切割管，从而使内部法兰在肠道内被消除。这被称为切割-推送技术。本报告描述了一例在无潜在肠道疾病或腹部手术史的患者中，内部法兰导致肠穿孔的病例。该病例说明了定期进行腹部 X 光检查以确认内部法兰是否脱出的重要性。
