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接受鞘内持续巴氯芬输注治疗患者的经皮内镜下胃造口术

Percutaneous Endoscopic Gastrostomy in a Patient With Continuous Intrathecal Baclofen Infusion Therapy.

作者信息

Toh Yoon Ezekiel Wong, Kobayashi Masuki

机构信息

Department of Internal Medicine (Gastroenterology), Hiroshima Kyoritsu Hospital, Hiroshima City, Japan.

Department of Neurosurgery, Hibino Hospital, Hiroshima City, Japan.

出版信息

Gastroenterology Res. 2017 Apr;10(2):132-134. doi: 10.14740/gr786w. Epub 2017 Apr 19.

DOI:10.14740/gr786w
PMID:28496536
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5412548/
Abstract

Percutaneous endoscopic gastrostomy (PEG) is the method of choice in patients requiring long-term enteral tube feeding. In patients with intrathecal baclofen infusion therapy (IBT) pump implantation, infection via the skin and soft tissue may be an issue of concern. The introducer technique for gastrostomy tube insertion may be useful in reducing the risk of peristomal infection. Although the presence of a PEG tube has been reported as a risk factor for implantation site infection (for newly inserted IBT pumps), whether existing IBT pumps are at risk for infection during or after the placement of a PEG tube is not clear. We report a case where PEG was successfully performed using the introducer technique on a patient with an IBT pump implant.

摘要

经皮内镜下胃造口术（PEG）是需要长期肠内管饲患者的首选方法。对于接受鞘内注射巴氯芬治疗（IBT）泵植入的患者，经皮肤和软组织的感染可能是一个值得关注的问题。胃造口管插入的导入器技术可能有助于降低造口周围感染的风险。虽然已有报道称PEG管的存在是植入部位感染的一个风险因素（对于新插入的IBT泵），但现有IBT泵在PEG管放置期间或之后是否有感染风险尚不清楚。我们报告了一例使用导入器技术成功为一名植入IBT泵的患者实施PEG的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1766/5412548/3c97c863738b/gr-10-132-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1766/5412548/e742a8e0ce76/gr-10-132-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1766/5412548/3c97c863738b/gr-10-132-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1766/5412548/e742a8e0ce76/gr-10-132-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1766/5412548/3c97c863738b/gr-10-132-g002.jpg

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本文引用的文献

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Percutaneous endoscopic gastrostomy (PEG) using a novel large-caliber introducer technique kit: a retrospective analysis.使用新型大口径导入器技术套件的经皮内镜下胃造口术（PEG）：一项回顾性分析
Endosc Int Open. 2016 Sep;4(9):E990-6. doi: 10.1055/s-0042-112587. Epub 2016 Aug 30.
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Prevention of Recurrent Staphylococcal Skin Infections.复发性葡萄球菌皮肤感染的预防
Infect Dis Clin North Am. 2015 Sep;29(3):429-64. doi: 10.1016/j.idc.2015.05.007.
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Infectious Complications of Intrathecal Drug Administration Systems for Spasticity and Chronic Pain: 145 Patients From a Tertiary Care Center.
鞘内给药系统治疗痉挛和慢性疼痛的感染并发症：来自三级医疗中心的145例患者
Neuromodulation. 2015 Jul;18(5):421-7. doi: 10.1111/ner.12265. Epub 2015 Jan 12.
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Systemic antimicrobial prophylaxis for percutaneous endoscopic gastrostomy.经皮内镜下胃造口术的全身性抗菌预防
Cochrane Database Syst Rev. 2013 Nov 14;2013(11):CD005571. doi: 10.1002/14651858.CD005571.pub3.
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Examining the effectiveness of intrathecal baclofen on spasticity in individuals with chronic spinal cord injury: a systematic review.鞘内注射巴氯芬对慢性脊髓损伤患者痉挛的疗效研究：一项系统评价。
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Effect of the introducer technique compared with the pull technique on the peristomal infection rate in PEG: a meta-analysis.导丝技术与拉拔技术对 PEG 患者造口感染率影响的荟萃分析。
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Risk factors and complications following percutaneous endoscopic gastrostomy: a case series of 1041 patients.经皮内镜下胃造口术后的危险因素及并发症：1041例患者的病例系列研究
Can J Gastroenterol. 2011 Apr;25(4):201-6. doi: 10.1155/2011/609601.
8
Infections related to intrathecal baclofen therapy in children and adults: frequency and risk factors.儿童和成人鞘内注射巴氯芬治疗相关感染：发生率及危险因素
J Neurosurg Pediatr. 2009 Nov;4(5):487-93. doi: 10.3171/2009.6.PEDS0921.
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Percutaneous endoscopic gastrostomy.经皮内镜下胃造口术
Am J Gastroenterol. 2007 Dec;102(12):2620-3. doi: 10.1111/j.1572-0241.2007.01362.x.
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Ann Pharmacother. 1993 Jun;27(6):767-74. doi: 10.1177/106002809302700618.