Shah Adil Aijaz, Akhtar Shabbir, Zuberi Nadeem, Ali Kamran, Shah Dania Aijaz, Shariff Amir Hafeez
Final Year, Medical College, Aga Khan University, Karachi, Pakistan.
Department of Otolaryngology, Aga Khan University, Karachi, Pakistan.
J Pak Med Assoc. 2015 Oct;65(10):1145-7.
Percutaneous endoscopic gastrostomy (PEG) tube placement serves as a well-tolerated and efficacious technique for long-term enteral access in patients with medical conditions precluding oral food intake. The nutritional optimisation of patients with oral cancer is mostly achieved via PEG tube placement. However, certain special situations, such as pregnancy and the immediate post-partum period, may render the placement of PEG tubes to be a challenge. A 28-year-old pregnant female patient presented to us with the diagnosis of squamous cell carcinoma of the tongue during her third trimester. Definitive surgical resection was planned post-delivery along with simultaneous PEG tube placement. Immediately following delivery via an elective Caesarean section, she successfully underwent laparoscopic-assisted PEG tube placement. A gravid uterus or an immediately post-partum distended uterus poses significant difficulties whilst attempting PEG insertion. However, laparoscopic-assisted PEG insertion in a controlled setting may make the process safer to perform.
经皮内镜下胃造口术（PEG）置管是一种耐受性良好且有效的技术，适用于因疾病无法经口进食的患者进行长期肠内营养支持。口腔癌患者的营养优化大多通过PEG置管来实现。然而，某些特殊情况，如妊娠和产后即刻，可能会使PEG置管成为一项挑战。一名28岁的妊娠女性患者在孕晚期被诊断为舌鳞状细胞癌。计划在产后进行确定性手术切除并同时放置PEG管。通过择期剖宫产分娩后，她成功接受了腹腔镜辅助PEG置管。妊娠子宫或产后即刻膨胀的子宫在尝试进行PEG置管时会带来重大困难。然而，在可控环境下进行腹腔镜辅助PEG置管可能会使操作过程更安全。
