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逆行胃空肠吻合术管移位

Retrograde gastrojejunostomy tube migration.

作者信息

Adesina Adeleke, Rammohan Guhan, Jeanmonod Rebecca

机构信息

St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015, USA.

出版信息

Case Rep Emerg Med. 2014;2014:738506. doi: 10.1155/2014/738506. Epub 2014 Dec 29.

DOI:10.1155/2014/738506
PMID:25614839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4295129/
Abstract

Percutaneous enteral feeding tubes are placed about 250,000 times each year in the United States. Although they are relatively safe, their placement may be complicated by perforation, infection, bleeding, vomiting, dislodgment, and obstruction. There have been numerous reports of antegrade migration of gastrojejunostomy (G-J) tubes. We report a case of G-J tube regurgitation following protracted vomiting and discuss the management of this very rare entity.

摘要

在美国,经皮肠内喂养管每年放置约25万次。尽管它们相对安全,但其放置可能会因穿孔、感染、出血、呕吐、移位和阻塞而变得复杂。已有大量关于胃空肠造口术(G-J)管顺行迁移的报道。我们报告一例长期呕吐后G-J管反流病例,并讨论这种非常罕见情况的处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00cd/4295129/a42304bb8ef3/CRIEM2014-738506.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00cd/4295129/7fe14a4b83ce/CRIEM2014-738506.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00cd/4295129/399ae2e0e710/CRIEM2014-738506.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00cd/4295129/a42304bb8ef3/CRIEM2014-738506.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00cd/4295129/7fe14a4b83ce/CRIEM2014-738506.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00cd/4295129/399ae2e0e710/CRIEM2014-738506.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00cd/4295129/a42304bb8ef3/CRIEM2014-738506.003.jpg

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本文引用的文献

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Single endoscopist-performed percutaneous endoscopic gastrostomy tube placement.单内镜医师施行的经皮内镜下胃造口管放置术。
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A rare complication of percutaneous endoscopic gastrojejunostomy (PEG-J): duodenal bulb perforation due to retrograde migration.经皮内镜下胃空肠造口术(PEG-J)的一种罕见并发症:逆行移位导致十二指肠球部穿孔。
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Small bowel endoscopic enteral access.小肠内镜下肠内通路。
Curr Opin Gastroenterol. 2009 Mar;25(2):155-9. doi: 10.1097/MOG.0b013e328324f86b.
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Intestinal perforation: a rare complication of percutaneous endoscopic jejunostomy removal.肠穿孔:经皮内镜下空肠造口术移除的罕见并发症。
Endoscopy. 2008 Sep;40 Suppl 2:E178. doi: 10.1055/s-2007-995808.
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