Triantafyllou Konstantinos, Papanikolaou Ioannis S, Stasinos Ioannis, Polymeros Dimitrios, Dimitriadis George D
Konstantinos Triantafyllou, Hepatogastroenterology Unit, Second Department of Internal Medicine and Research Institute, Attikon University General Hospital, 1 Rimini str, 12462 Haidari, Greece. Email:
Nutr Clin Pract. 2014 Feb;29(1):142-5. doi: 10.1177/0884533613515725. Epub 2013 Dec 13.
Percutaneous endoscopic gastrostomy tubes are replaced due to clogging, breaking, and dislodgement. There are potential complications associated with these procedures, including intraperitoneal placement of the tube and peritonitis, which can occur even in the presence of a well established stoma site. Herein we present a case series of 3 patients with mature gastrocutaneous tracks, who developed peritonitis following tube replacement. In the absence of a consensus or international guidelines regarding the management of patients requiring percoutaneous endoscopic gastrostomy tube replacement, emphasis should be given on prevention of severe adverse events and on early anticipation of their occurrence. Clinical experience indicates that recognition of high-risk procedures, selection of the appropriate replacement method and confirmation of correct tube placement can improve patients' safety and reduce the complications rate.
经皮内镜下胃造口管因堵塞、断裂和移位而需要更换。这些操作存在潜在并发症，包括胃造口管腹腔内放置和腹膜炎，即使在造口部位已完全形成的情况下也可能发生。在此，我们报告一组3例具有成熟胃皮通道的患者，他们在更换胃造口管后发生了腹膜炎。由于缺乏关于需要更换经皮内镜下胃造口管患者管理的共识或国际指南，应重点预防严重不良事件并尽早预测其发生。临床经验表明，识别高风险操作、选择合适的更换方法以及确认胃造口管正确放置可提高患者安全性并降低并发症发生率。
