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急性胰腺炎：福勒氏导尿管胃造口术的一种并发症。

Acute pancreatitis: a complication of Foley catheter gastrostomy.

作者信息

Bui H D, Dang C V

出版信息

J Natl Med Assoc. 1986 Aug;78(8):779-81.

PMID:3093685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2571334/
Abstract

Acute pancreatitis can be caused by inadvertent migration into the duodenum of the inflated balloon of a Foley gastrostomy catheter. The clinical picture is that of an acute abdomen. The diagnosis is made with a high index of suspicion and confirmed by marked elevation of serum and urine amylase levels. The treatment consists of repositioning of the gastrostomy tube and supportive therapy. Careful external fixation of the tube to the abdominal wall can prevent this complication.

摘要

急性胰腺炎可能由Foley胃造口术导管的充气气囊意外移入十二指肠引起。临床表现为急腹症。诊断需高度怀疑，并通过血清和尿淀粉酶水平显著升高来证实。治疗包括重新放置胃造口管和支持治疗。将管子小心地外部固定在腹壁上可预防此并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e896/2571334/576877927606/jnma00259-0092-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e896/2571334/a64716548133/jnma00259-0092-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e896/2571334/576877927606/jnma00259-0092-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e896/2571334/a64716548133/jnma00259-0092-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e896/2571334/576877927606/jnma00259-0092-b.jpg

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本文引用的文献

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Acute pancreatitis and cholangitis: a complication caused by a migrated gastrostomy tube.急性胰腺炎和胆管炎：胃造瘘管移位引起的一种并发症。
World J Gastroenterol. 2007 Oct 21;13(39):5285-7. doi: 10.3748/wjg.v13.i39.5285.
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Gastrostomy tube pancreatitis.
Pediatr Radiol. 1988;18(5):416-7. doi: 10.1007/BF02388052.
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Ann Surg. 1966 Aug;164(2):284-90. doi: 10.1097/00000658-196608000-00015.
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Duodenal obstruction--an unusual complication of a gastrostomy feeding catheter.十二指肠梗阻——胃造口喂养导管的一种罕见并发症。
Br J Radiol. 1971 Nov;44(527):883-4. doi: 10.1259/0007-1285-44-527-883.